• Nutrition Coaching Agreement & Informed Consent

    Nutrition Coaching Agreement & Informed Consent

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  • Nutrition Coaching Agreement & Informed Consent
    Business Name: HGG Wellness
    Coach: Cheryl Banks, PN-L1
    Service: Nutrition Coaching (General Wellness & Performance Support)


    1. Scope of Nutrition Coaching
    I understand that nutrition coaching provided by HGG Wellness is intended for general wellness, lifestyle, and performance support only.

    Nutrition coaching may include:

    Education on nutrition principles
    Habit-based guidance
    Goal setting and accountability
    Support related to fueling training, recovery, and daily health


    I understand that nutrition coaching does not include:

    Medical nutrition therapy
    Diagnosis or treatment of disease
    Prescribed diets or meal plans
    Counseling for eating disorders

    2. Not Medical Care
    I acknowledge that the nutrition coaching services provided are not medical care and are not a substitute for medical advice, diagnosis, or treatment from a physician, registered dietitian, or other licensed healthcare provider.

    I agree to consult a qualified healthcare professional regarding any medical conditions, medications, or health concerns.


    3. Client Responsibility
    I understand that:

    Results depend on my consistency, effort, and adherence
    No specific outcomes are guaranteed
    I am responsible for my own food choices, behaviors, and actions
    I will communicate honestly and promptly with my coach
    I agree to inform my coach of any changes in my health status, medications, or relevant medical history.


    4. Coaching Relationship
    I understand that:

    Nutrition coaching is a collaborative process
    My coach provides guidance and support, not directives
    Coaching may evolve based on my progress, feedback, and goals
    I understand that coaching recommendations are general in nature and tailored to lifestyle and performance, not medical needs.


    5. Payment & Billing
    I agree that:

    Nutrition coaching is billed on a monthly basis via payment requests.
    Payment is required in advance to receive services for the month.
    Coaching services are month-to-month, unless otherwise stated.

    6. Cancellation Policy
    I understand that:

    I may cancel my coaching subscription at any time
    Cancellation must be submitted at least 7 days prior to the next billing date
    No refunds are provided for charges already processed

    7. Communication & Availability
    I understand that:

    Coaching communication may occur via email, or messaging
    My coach will respond within a reasonable timeframe (typically within 1–2 business days)
    Coaching does not include emergency or crisis support

    8. Confidentiality
    I understand that:

    All personal information shared is kept confidential
    Information will not be shared without consent, except as required by law

    9. Assumption of Risk
    I acknowledge that:

    Lifestyle and nutrition changes may involve some level of risk
    I voluntarily assume full responsibility for any decisions or actions I take as a result of coaching

    10. Acknowledgment & Consent
    By signing below, I confirm that:

    I have read and understood this agreement
    I have had the opportunity to ask questions
    I voluntarily agree to participate in nutrition coaching services

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