Client Intake Form
** This form is only for clients with confirmed initial phone consultations with Katie. Please fill out this form carefully and thoughtfully. Thank you.
DISCLAIMER
The advice and opinions provided by Katie Ladrido, and staff are based on their education, training, and experience. Katie Ladrido, and staff expressly disclaim all responsibility for any liability, loss, claim, damage or risk, personal or otherwise, which may be incurred as a result of any recommendation for any dietary or lifestyle change, including the use of dietary supplements. Nutritional Therapy services are not intended as medical advice, nor should it be used as a substitute for medical care administered by a physician or other licensed health care provider. The jurisdiction for your nutritional therapy analysis and recommendations will be under the laws of the state of Virginia. Please contact a licensed genetic counselor or other licensed healthcare professional for health-related genetic advice.
Any and all appointments and interactions with Katie Ladrido, and its are on an at-will basis, and either party may terminate the professional consulting relationship at any time. Our services, advice, techniques, analysis, and recommendations have not been evaluated by the Food and Drug Administration. Our nutritional therapy services provided are not intended to diagnose, treat, cure, or prevent any disease. Before making any complex health-related decisions, please consult your physician or other licensed healthcare provider.
We are committed to maintaining client confidentiality and protecting the security of personal information you provide to us by following industry best practices for internet security. We are not required to and currently do not operate under federal Health Insurance Portability and Accountability Act (HIPAA) compliance standards.