NUTRITIONAL THERAPY
INFORMED CONSENT AND DISCLAIMER

Before you choose to use the services of a Nutritional Therapy Consultant, please read the following information FULLY AND CAREFULLY.

Goal:

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 Therapy Consultant is trained to evaluate your nutritional needs and make recommendations of dietary change and nutritional supplements. A Nutritional Therapy Consultant 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 programs.

Health Concerns:

If you suffer from a medical or pathological condition, you need to consult with an appropriate healthcare provider. A Nutritional Therapy Consultant is not a substitute for your family physician or other appropriate healthcare provider. A Nutritional Therapy Consultant is not trained nor licensed to diagnose or treat pathological conditions, illnesses, injuries, or diseases. If you are under the care of another healthcare provider, it is important that you contact your other healthcare providers and alert them to your use of nutritional supplements. Nutritional therapy may be a beneficial adjunct to more traditional care, and it may also alter your need for medication, so it is important you always keep your physician informed of changes in your nutritional program. If you are using medications of any kind, you are required to alert the Nutritional Therapy Consultant to such use, as well as to discuss any potential interactions between medications and nutritional products with your pharmacist. If you have any physical or emotional reaction to nutritional therapy, discontinue their use immediately, and contact your Nutritional Therapy Consultant to ascertain if the reaction is adverse or an indication of the natural course of the body’s adjustment to the therapy.

Communication:

Every client is an individual, and it is not possible to determine in advance how your system will react to the supplements you need. It is sometimes necessary to adjust your program as we proceed until your body can begin to properly accept products geared to correct the imbalance. It is your responsibility to do your part by using your nutrition guidelines, exercise your body and mind sufficiently to bring your emotions into a positive balance, eat a proper diet, get plenty of rest, and learn about nutrition. You must stay in contact with the Nutritional Therapy Consultant so we can let you know what is happening and the best course of action. You should request your other healthcare provider, if any, to feel free to contact the Nutritional Therapy Consultant for answers to any questions they may have regarding nutritional therapy.

COMMUNICATION WITH OTHER PROVIDERS:

This disclaimer will serve as the client’s consent for Jillian Burne CHC NTC FDN or any employee thereof to speak to anyone the client deems necessary, either in writing or verbally, unless that person is a medical provider. In which case a HIPPA form will need to be submitted to your provider giving them permission to speak with Jillian Burne CHC NTC FDN or any employee thereof. A HIPPA form is available here and on the Consultation page of this website.

Licensure:

A Nutritional Therapy Consultant is not licensed or certified by any state. However, a Nutritional Therapy Consultant ™ is trained by the Nutritional Therapy Association, Inc.® which provides a certificate of completion to students who have successfully met all course requirements, including a written exam. A license to practice Nutritional Therapy is not required in some states. Laws and regulations regarding certification and licensure requirements differ from state to state.

Refunds:

The full fee of the program is due at signing. No refunds will be given after fourteen days. If client fails to adhere to recommendations, fails to complete weekly Food Journals or submit Chk-In forms as requested by the practitioner the program will be terminated. No refunds will be given for terminated programs. Program fees cannot be transferred to a third party.