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