FUNCTIONAL HEALTH: VitaDoctors.com is directed by Chiropractors practicing in a functional health model. We view health as a continuum from optimal health to hidden imbalances to disease. VitaDoctors.com does not treat disease. We address underlying metabolic, physiologic, and functional imbalances, addressing root causes and imbalances. As doctors of Chiropractic, we do not prescribe drugs or perform surgery. Therefore, any and all changes to prescription medications must be made by your prescribing provider.
SERVICES: I understand and am informed that products and services are not provided by medical physicians and do not include prescriptions of legend drugs, surgery, or other conventional allopathic medical treatments. I further understand that consultations, evaluations, supplementation, lifestyle consultation, testing, recommendations, discussion, sale of nutritional supplements, vitamins or minerals, food grade herbs, or other nutrients pertain to the functional health and the whole body concept.
RISKS: I understand that the nutritional remedies, supplements, vitamins, minerals, food grade herbs, and other nutrients that may be recommended are generally considered safe, however in large quantities the aforementioned items may be toxic and may interact with some legend drugs. Accordingly, I agree to consult with my physician about any legend drugs I am taking and the impact of supplements, vitamins, minerals, food grade herbs, and other nutrients on such drugs. I will inform my health practitioner if I experience gastrointestinal upset (nausea, gas, stomachache, vomiting), allergic reactions (hives, rashes, itching, tingling of the tongue, headache), or any unanticipated or unpleasant effects associated with nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients.
PREGNANCY: I understand that nutritional supplements, vitamins, minerals, food grade herbs, and other nutrients many be inappropriate during pregnancy. I will consult with my primary physician before consuming any products from purchased through VitaDoctors.Com. I will notify the health practitioner if I am or become pregnant.
ALTERNATIVES: Chiropractic is a branch of the healing arts distinct from other branches (e.g. nursing, osteopathic, or allopathic) I understand that I have alternatives options including doing nothing and/or seeking additional allopathic medical care. Nonetheless, we encourage you to communicate with your other health providers regarding the care and recommendations given through VitaDoctors.Com.
NO GUARANTEE: I have been informed that the methods of nutritional evaluation or testing made available to me are not intended to diagnose disease from an allopathic model of medicine. Rather, they are intended as a guide to developing an appropriate overall health-supportive program for me, and to monitor allowing the body to return to improved health. Like all other health care, results are not guaranteed and there is no promise to cure. We can however speak of our experience addressing functional imbalances and improving overall functional health.
DO NOT SIGN UNLESS YOU HAVE READ AND FULLY UNDERSTAND THIS FORM
I have read and fully understand this consent form, I have had sufficient time to evaluate the information, Knowing the alternatives and risks, I consent to these services and recommendations.