• New Client

    Screening & Booking
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you been referred?
  • I consent to SianSecc Nutrition collecting the health information below to assess whether I can be seen privately or should be referred to the REDs clinic
  • Do you know your BMI?
  • Have you ever had a bone stress injury in your pelvis, hip (neck of femur), or navicular?
  • Have you ever been diagnosed with REDs (Relative Energy Deficiency in Sport?)
  • Do you currently have an active eating disorder or are in recovery from an eating disorder?
  • Were you assigned female at birth?
  • Do you currently have a regular monthly menstrual cycle (a period roughly every 21–35 days)?
  • Are you currently using hormonal contraception (e.g. combined or progesterone-only pill, hormonal coil/IUD, implant, injection, patch, or ring)?

  • By booking and participating in 1:1 nutrition services with Siân Secc Nutrition, you agree to the following Terms and Conditions.

     

    This includes:

    • You confirm that all information you provide about your health, medical history,
      medications, injuries, eating behaviours, menstrual history, height, weight, and lifestyle is accurate, complete, and up to date.
    • I reserve the right to pause or terminate services if I believe continued coaching may be unsafe, inappropriate, or outside my professional scope.
    • The nutrition services provided by Siân Secc Nutrition are for educational and
      informational purposes only. They are not intended to diagnose, treat, cure, or prevent any medical condition. I am not a medical doctor and do not provide medical advice.
    • All personal information shared will be treated as confidential and used solely for the purpose of providing nutrition services.

     

     

    Full Terms & Conditions

    (copy available upon request)

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