I hereby acknowledge and agree:
1. The purpose of nutritional, wellness, and lifestyle counseling is to improve the overall health, vitality and well-being of the body through nutritional education and the use of natural foods and non-medicinal nutritional supplements. The Nutritional Therapist, Kelsey Ale, does not diagnose diseases, disorders or conditions.
2. Our basic goal is to encourage people to become knowledgeable about and responsible for their own health, and to bring it to a personal optimum level. Nutritional therapy is designed to improve your health, but is not designed to treat any specific disease or medical condition. Reaching the goal of optimum health, absent other non-nutritional complicating factors, requires a sincere commitment from you, possible lifestyle changes, and a positive attitude. A Nutritional Therapist is trained to evaluate your nutritional needs and make recommendations of dietary change and nutritional supplements. A Nutritional Therapist is not trained to provide medical diagnoses, and no comment or recommendation should be construed as being a medical diagnosis. Since every human being is unique, we cannot guarantee any specific result from our program.
3. The Nutritional Therapist, Kelsey Ale, is not a licensed Dietitian, Naturopathic Doctor or Medical Physician.
4. As part of the Nutritional Counseling Services, I may be asked to provide information concerning my physical habits, medical history, moods, energy levels, likes and dislikes, lifestyle and diet. This information is collected to enable the Nutritional Therapist to: (i) assess my knowledge of nutrition, (ii) education me about the benefits of sound nutritional practices and (iii) recommend dietary changes to improve my general health, vitality and overall well-being. The Nutritional Therapist, Kelsey Ale will hold this information in confidence and will not release or disclose this information to any other person, without my prior consent, except as required by applicable law or as otherwise indicated and agreed to, such as in the instance of information collected and shared on group coaching calls in which case prior consent to share said information will be obtained.
5. If the Nutritional Therapist, Kelsey Ale, suspects the existence of disease, disorder or condition, I will be informed of this suspicion. However, I acknowledge this is not a diagnosis or conclusion about the state of my health and that I am directed to promptly consult a licensed Physician or Naturopath about any suspected problems.
6. Should I request the Nutritional Therapist, Kelsey Ale, to recommend dietary changes and/or nutritional supplements to enhance my body’s natural ability to resist and/or overcome a known disease, disorder or condition, it is my responsibility to disclose the nature of the disease, disorder or condition and all other relevant details to the Nutritional Therapist, Kelsey Ale. If I have not previously consulted a licensed Physician or Naturopath about this disease, disorder or condition, I acknowledge that I am directed to promptly do so. I am not to alter or discontinue treatments prescribed by a licensed Naturopath, Physician or other licensed health professional without consulting the individual who prescribed the treatment.
7. In providing Nutrition Counseling Services to me, the Nutritional Therapist, Kelsey Ale, is relying upon the truth, accuracy and completeness of all information I have provided to her. Any recommendations I follow for changes in diet, including the use of nutritional supplements, are entirely my responsibility.
8. Kelsey Ale is in no way liable for my health or safety.
9. In consideration of my participation in the Nutritional, Wellness, and Lifestyle Counseling Services, I hereby accept all risk to my health, including injury or death that may result from such participation and I hereby release the Nutritional Therapist, Kelsey Ale, and Intuitive Wellness Club on my behalf and on behalf of my personal representatives, estate, heirs, next of kin, and assigns from any and all costs, claims, causes of action and damages arising from any and all illness or injury to my person, including my death, that may result from or occur as a result of my participation in the Nutrition Counseling Services, whether caused by negligence or otherwise.
11. I understand that any therapies I undertake at Kelsey Ale, NTP and Intuitive Wellness Club are undertaken of my own free will. I accept that the ultimate responsibility for my health care is my own and that neither Kelsey Ale, NTP nor and Intuitive Wellness Club is here to support me in this. I understand that my practitioner reserves the right to determine which cases fall outside their scope of practice, in which event an appropriate referral will be recommended. I hereby agree to assume full responsibility for any manner of loss, injury, claim, or damage whatsoever, known or unknown, incurred as a result of same, and I, my heirs, executors, administrators, or assigns for any loss, injury, claim or damage sustained as a result of my attendance and/or participation. I have read the above release and waiver of liability and fully understand its contents and voluntarily agree to the terms and conditions stated.