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INFORMED CONSENT FOR NUTRITION CARE Consent to Treatment and Treatment Disclaimers I give consent to Angelene Alexandrakis, to provide nutrition counselling to myself or the client for which I am legally responsible. All consultations aim to provide personalised guidance and educational information related to my diet, nutrition, and lifestyle. I understand that Sports Nutritionists are not qualified to provide medical advice, diagnoses, or treatment for medical conditions. The role of an Accredited Nutritionist is to provide nutritional support and nutrition education to help manage symptoms related to medical conditions in the hopes of improving overall quality of life. The role of an Accredited Sports Nutritionist is to maximise performance through nutrition by providing practical strategies, guidelines and policies as well as support to athletes regarding the strategic timing of food and fluids. Nutrition counselling is not a substitute for the diagnosis, treatment, or care of disease by a medical doctor. It is advised that the client discuss changes to diet and supplement intake with their primary health care physician. To provide personalised and safe dietetic service, it is important that you inform your practitioner of: • Any disease/condition from which you currently suffer • If you are taking any prescribed or over-the-counter medications or supplements • If you are pregnant, suspect you are pregnant, planning to become pregnant or are currently breastfeeding. I understand that results are not guaranteed, and that nutrition is not a cure to medical conditions. In no way should a client discontinue or change the daily dose of any prescription medications without first consulting with their doctor. The Nutritionist will answer questions to the best of her ability and will base suggestions on scientific evidence and relevant information provided. The client expressly assumes the risks of nutrition coaching sessions, including the risks of trying new foods, and the risks associated with making lifestyle changes. The client releases the Nutritionist from any and all liability damages causes of action, allegations, suits, sums of money, claims and demands, in law or equity, which the client ever had, now has or will have in the future against the Nutritionist, arising from the client’s past or future participation in the nutrition sessions, unless arisen from the gross negligence of the Nutritionist. With this knowledge, I voluntarily consent to the treatment recommended to me by my practitioner. I intend for this consent to apply to all my present and future Nutrition care. I understand that I may retract my consent at any time during sessions. Privacy and Confidentiality Any information collected by the Nutritionist will be kept private and will not be discussed or shared with any third party unless compelled to by law (e.g. when there is imminent danger to the client or to others) or with the consent of the client (e.g. in the even that the Nutritionist must reach out to family physician). You may request information from your personal file at any time by contacting Angelene Alexandrakis directly. All health records will be stored in secure online software. All meal plans will be prepared and stored in Canva. Intellectual Property Any informative resources, recipes or worksheets provided by the Nutritionist remain the intellectual property of Angelene Alexandrakis and are for personal use only. Materials are not to be reproduced or re-distributed without permission. Payments and Refunds Payments for all services will be automatically charged to the clients nominated card or bank account after the session has concluded. Payments for coaching services are non-refundable. No-Show/Cancellation Policy In the event that the client is no longer able to attend a booked appointment the Nutritionist should be contacted to reschedule the appointment. Consultation calls cannot be cancelled or rescheduled within 12 hours of the appointment. Cancellations within 12 hours of the appoint will incur a charge of 50% of the consultation fee. If the client does not show up to a scheduled appointment, the full fee will be charged.

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