CONFIDENTIALITY:
Nutrition consulting and education is a confidential process designed to help you address your health concerns, come to a greater understanding of yourself and the relationship that diet and lifestyle practices can have one one’s health, as well as to learn effective dietary, lifestyle, supplemental and stress management strategies. It involves a relationship between you and a practioner who has the desire and willingness to help you accomplish your individual goals.
All information gathered from the client, including name, contact information and medical history are secured and confidential. Information will only be released with the consent of the client unless said information may potentially be injurious to a third party.
CONSENT:
I, the client, have read and understand the information about the holistic health services offered by Heather Ciprani. I have discussed with the practitioner the nature of the services to be provided. I understand that the practitioner is not a licensed physician and as such cannot diagnose, treat or prescribe medications. I understand that the information provided on the relationship between nutrition and health is NOT meant to replace competent medical care or treatment for any health problem or condition and that it is my responsibility to maintain a relationship for myself/ child with a medical doctor or licensed health care practitioner. The nature of the nutrition assessment and evaluation are to support client wellness through food, herbs, nutritional supplements, education, exercise programs, and lifestyle changes. I certify that I am here solely on my own behalf. I am not representing any other person, company, association, and/or on the behalf of any governmental agency. I, the client, give consent to the nutrition assessment and evaluation offered by the practitioner.