DISCLOSURE
Vitality Wellness by Luxe provides wellness education, lifestyle guidance, and supportive recommendations.
We do not diagnose, treat, or cure medical conditions.
This program is not a substitute for medical care, and no medical diagnosis or prescription will be made through this intake or consultation.
If you have a medical condition, are pregnant, or are taking medications, you should consult with your licensed healthcare provider before making changes to your health routine.
MEDICAL CARE & RESPONSIBILITY
You agree to continue care with your primary healthcare provider as appropriate
You agree to inform your provider of any supplements or changes you implement
You understand that recommendations may impact how your body responds to medications
If you experience any adverse symptoms, you should discontinue recommendations and seek appropriate medical care.
CLIENT RESPONSIBILITY
Achieving results requires participation and consistency.
By moving forward, you acknowledge that you are responsible for:
Following recommendations to the best of your ability
Communicating changes, concerns, or symptoms
Making lifestyle adjustments when appropriate
Understanding that results vary from person to person
There are no guaranteed outcomes, as each individual responds differently.
PROGRAM FLEXIBILITY
Each client is unique. Your plan may be adjusted over time based on your response, progress, and goals.
Ongoing communication and follow-up are important for optimal results.
PRIVACY & INFORMATION USE
Information collected through this intake form and future communication may include:
Personal identification details
Health history
Lifestyle habits
Symptom reporting
This information is used to:
Guide your personalized wellness plan
Track progress
Provide appropriate recommendations
We take reasonable steps to protect your information; however, electronic communication cannot be guaranteed to be completely secure.
CONSENT
By signing below, you acknowledge that:
You have read and understand this information
You voluntarily choose to participate in this wellness program
You understand this is not medical treatment
You agree to the terms outlined above