Nutrition Coaching Sign Up Form

I understand that:

• The purpose of the nutrition support is to help me gain a better understanding of my nutrition and its role in health and performance.

• The role of the nutritionist is to develop an appropriate health-supportive program for me.

• The nutritionist does not prescribe a nutrition plan or supplement protocol, but shares a guideline approach to nutrition that research has suggested may support certain outcomes. It should not be considered prescriptive advice and results are not guaranteed.

• The purpose of the nutritionist is not to diagnose or treat disease and is not a substitute for appropriate medical treatment.

• The nutritionist will keep a record of our work together. These will be stored securely and no verbal or written information will be shared with a third party without my explicit consent. I have read and consent to the privacy policy at http://feedfuelperform.com/privacy-policy/

• I agree to be honest in all information I provide.