Step 1 of 9
Informed Consent
Thank you for trusting us with your well-being. Holistic Practitioners at The Wellness Path maintain an interest in the health and wellness of all individuals. We respect the rights of each client's personal tastes, morals, and social values in achieving their goals.
Privacy of your personal information is an important part of providing you with quality care. We understand the importance of protecting your personal information and are committed to collecting, using, and disclosing it responsibly.
I understand that a confidential record will be kept of the health services provided to me. This record will be kept confidential but if required, my Holistic Nutritionist may discuss my case with other healthcare providers. I understand that I may look at my file at any time and can request a copy.
I understand and acknowledge that the services provided are at all times restricted to consultation about health matters intended for general well-being and are not meant for the purposes of medical diagnosis, treatment or prescribing of medicine for any disease, or any licensed or controlled act which may constitute the practice of medicine.
This statement is being signed voluntarily. I understand that I am free to withdraw my consent at any time.
