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CLIENT/COACH CONSENT

This Coaching Consent Form is required for all clients participating in Integrative Nutrition Health Coaching with Gloria Palefsky, Certified Integrative Nutrition Health Coach (CINHC). It ensures that clients understand the scope of coaching services, acknowledge that coaching is not a substitute for medical care, and agree to communicate any health-related concerns with their healthcare providers.

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By completing this form, clients:

  • Provide necessary personal and emergency contact details.

  • Acknowledge the role and limitations of Integrative Nutrition Coaching.

  • Consent to participation, including the use of confidential electronic communication.

  • Agree to payment terms and cancellation policies.

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This form must be read, signed, and submitted before beginning coaching sessions. Your privacy is protected, and all information is kept confidential in compliance with HIPAA regulations.

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