Informed Consent
My Whole30 coaching services are intended to promote general health and wellness and are not intended to replace physician care or medical intervention. All nutritional assessments, suggestions and/or consultations on nutrition, diet and lifestyle are based on your input, and are not intended to diagnose, treat or cure any disease or ailment.
You acknowledge and agree to accept all responsibility for reviewing diet, nutrition, and lifestyle suggestions with a licensed medical professional before following said suggestions.
As with any program, there may exist inherent risks which may be relative to your state of health, fitness, awareness, care, and skill to which you conduct yourself. You agree that it is your responsibility to inquire about any recommendations with which you are not familiar, and provide any information which may limit your participation in the Whole30 program.
Results and changes in your general health and wellness may vary depending on medical conditions, medications, and accuracy in following suggested guidelines.
As your general health and wellness may change with modifications in diet, nutrition, and lifestyle, physician-prescribed medications may require modification. It is your responsibility to discuss this with your physician. Never reduce or eliminate physician prescribed medications without the direction of your physician or medical care provider.
Your personal and health information will remain confidential and will not be shared without your consent.
Dolly Sengsavang reserves the right to refuse services to any individual.
Acknowledgement & Consent to Receive Services:
I have read and understand the above disclosure about the Whole30 coaching services offered by Dolly Sengsavang. I have discussed with Dolly Sengsavang the nature of the services to be provided. I understand that Dolly Sengsavang is not a licensed physician and that Whole30 coaching services are not licensed by the state, medically authorized, nor sponsored by any licensing bodies. I understand it is my responsibility to maintain a relationship for myself/my child with a medical doctor or licensed health provider. I have consented to use the services offered by Dolly Sengsavang and agree to be personally responsible for the fees in connection with the services provided to me.
Health Notices
The Whole30 was developed by respected health professionals. However, Whole30 isn’t a medical organization and we can’t give you medical advice, treat you for any medical condition, or provide any specific recommendations relating to your medical condition. We strongly urge you to consult with your physician, primary health-care provider, and/or a Registered Dietitian before starting any dietary or lifestyle plan.
We also urge you to get periodic medical checkups. The Whole30 can create physical changes that should be medically monitored. Medical monitoring is especially important for people with a known medical condition, pregnant or breastfeeding women, or those on prescription medication. The Whole30 is not advise for those with a history of disordered eating, unless administered under the care of a trained counselor. The Whole30 is healthful, but isn’t intended to treat any illness or disease.
In addition:
I require written medical permission to participate in coaching services if you are a child under 17 years of age, pregnant, or with an active medical diagnosis of bulimia nervosa/anorexia/binge eating disorder/EDNOS.
I prohibit participation in my coaching services for children under the age of 10.
If you are being treated for an illness, taking prescription medication, or following a therapeutic diet to treat a disease, it’s especially important to show the Whole30 plan to your physician or primary health care provider. Any modifications made to the plan by your provider(s) should be followed.
Disclosure Policy
- I understand that Dolly Sengsavang of Dolly’s Whole Life is not a licensed professional, and will only be coaching clients within the Whole30 parameters. Any medical conditions must be consulted with a health professional prior to the start of the Whole30 program on October 8, 2018 with continuing monitoring throughout the program if necessary.
- I understand that Dolly Sengsavang has the right to refuse services if she sees fit.
- I understand that if I do not finish the program, I will not receive a refund, but can restart the program with Dolly Sengsavang coaching until November 16, 2018. The group will continue to move forward and the timeline will not change.
- I understand the material provided is for my use only.
- After the program is complete, Dolly Sengsavang will remove you from the private Instagram page.
Return policy:
- All sales are final. There will be no refunds once the services begin on October 5, 2018 whether you finish the program or not.