I am employing the counseling services of Cheryl Zonkowski MS, RD, CSSD so that I can obtain information and guidance about health factors within my own control (diet, nutrition, supplementation, lifestyle, and related behaviors) in order to nourish and support my health and performance.
I understand that Cheryl Zonkowski MS, RD, CSSD is a Registered Dietitian, Certified Specialist in Sports Dietetics, and Nutrition Educator and does not dispense medical advice nor prescribe treatment. Rather, she provides education to enhance my knowledge of health as it relates to food, dietary supplements, and behaviors associated with eating. While nutritional and supplemental support can be an important compliment to my medical care, I understand nutrition counseling is not a substitute for the diagnosis, treatment, or care of disease by a medical provider.
Nutritional evaluation or testing provided in counseling is not intended for the diagnoses of disease. Rather, these assessment tests are intended as a guide to developing an appropriate health-supportive program for me, and to monitor my progress in achieving my goals.
I understand that Cheryl Zonkowski MS, RD, CSSD will keep consult notes as a record of our work together. These notes document the topics that we talk about, interventions used, and treatment plan or any other considerations that may be helpful to your work with me. Records will be stored in a secure location. Medical records, personal information and history divulged in session to Cheryl Zonkowski MS, RD, CSSD will be kept strictly confidential unless I consent to sharing my medical and nutritional information by way of a signed release.
I acknowledge that I have read and understand the HIPAA privacy agreement found at www.catalyztnutrition.com or as provided by Cheryl Zonkowski MS, RD, CSSD in hard copy form.
I agree to hold Cheryl Zonkowski MS, RD, CSSD harmless for claims or damages in connection with our work together. This is a contract between myself and Cheryl Zonkowski MS, RD, CSSD and I understand that it is also a release of potential liability.
I understand that Cheryl Zonkowski MS, RD, CSSD has a 24-hour cancellation policy, and I am aware that I will be charged a follow up fee ($100.00) for a missed appointment if proper notice is not given (by phone, text, or email). This same integrity is in effect for Cheryl Zonkowski MS RD CSSD. Should she ever have to cancel within 24 hours of the appointment, your next follow up appointment is free.
Payment is required at the time of service. Cash, check and major credit cards are accepted.
Nutrition counseling services may be terminated at the discretion of Cheryl Zonkowski MS, RD, CSSD, written/ email notification would be provided to a client 10 days in advance of final appointment.