Disclaimer and privacy statement meal plans and consultations
I am employing the counseling services of Amelie Rosseneu so that I can obtain information and guidance about healthy nutrition and/or sport nutrition. I understand that Amelie Rosseneu does not dispense medical advice nor prescribe treatment. Rather, she provides education to enhance my knowledge of health and performance as it relates to foods, dietary supplements, and behaviors associated with eating.
I understand nutrition counseling is not a substitute for the diagnosis, treatment, or care of disease by a medical provider. I know that it is strongly recommended in addition to nutrition counselling to keep contact with one or more physicians qualified to care of my health condition(s).
Nutritional evaluation or testing provided in counseling is not intended for the diagnoses of disease. Rather, these assessment tests are intended as a guide to developing an appropriate health-supportive program for me, and to monitor my progress in achieving my goals.
I understand that if I’m under the care of a health care professional or currently use prescription medications, I should discuss any dietary changes or potential dietary supplements use with my doctor, and should not discontinue any prescription medications without first consulting my doctor.
I’m aware that Amelie Rosseneu is a dietitian with a bachelor degree obtained in Belgium and that her degree might not be acknowledged in my country.
Personal Responsibility and Release of Health Care Related Claims:
I agree to hold Amelie Rosseneu and her company harmless for claims or damages in connection with our work together. This is a contract between myself and Amelie Rosseneu and I understand that it is also a release of potential liability.
I understand that individualized recommendations are offered and applied as an educational and informative consultation. I take full responsibility for my life and wellbeing, as well as the lives and wellbeing of my family and children (where applicable), and all decisions made during and after the nutrition council sessions.
Privacy and confidentiality
I understand that Amelie Rosseneu will keep personal information and therapy notes as a record of our work together. These notes document the topics that we talk about, interventions used, and treatment plan or any other considerations that may be helpful to her work with me.
Amelie Rosseneu will keep my information confidential, and will not share my information to any third party unless with my consent or compelled to by law.
I know that I can request to receive my file and/or ask to delete all my personal information at any time, except for the information Amelie Rosseneu is expected to keep by law (such as but not limited to payment details).
Payments are required at the time of service or as agreed upon. Cash, check, credit cards and money transfer are accepted.
In case I’m not happy with the services provided by Amelie Rosseneu or no longer need them, meetings that were already payed for in advance but not used will be refunded upon request.
I understand that Amelie Rosseneu has a 24-hour cancellation policy, and I am aware that I will be charged a fee (25 euro) for a missed appointment if proper notice is not given (by phone or email). This may be disregarded in the event of an emergency.
It is my responsibility to check the well working of the communication channel previous to my online appointment.
I understand this consent agreement and have read it freely and willingly.
I understand that by purchasing a meal plan or consultation I also consent with the above disclaimer and page of terms and conditions