Informed Consent Agreement
I give consent to D’Auria Esthetics and Wellness to provide Nutrition Counseling to myself or the client for which I am legally responsible. The consult will provide information regarding my health, lifestyle and diet.
I understand that Alexandria D’Auria is a certified Holistic Nutritionist and certified Health and Wellness Coach and not a medical physician. Thus, she will not diagnose medical conditions, but will provide nutritional support and nutrition education. I understand these services are not a substitute for medical care. Methods of nutrition counseling made available to me are not intended to diagnose disease.
I have read this consent form and terms contained herein carefully. I understand the terms of this form fully and voluntarily agree to be bound by them.