By submitting this form I agree to the terms and conditions of this nutrition practice:
Payment is due prior the the consultation. Cancellations require 24 hours notice. If I cancel less than 24 hours prior to the appointment: a consultation in my package will be forfeited, or I will pay for the consultation in full when not invested in a package. Nutrition packages expire one year from the date of purchase. This practice does not participate with any insurance plans. I read HIPAA notice below.