Ashley Ahren Yoga + Nutrition: Information, Terms & Conditions and Informed Consent Form (CONFIDENTIAL)
Informed Consent to Ashley Ahrens Yoga + Nutrition with Ashley Ahrens Nutritional Therapist
Nutritional therapy is practiced by non-medical professionals and is complementary to other regulated forms of healthcare in England. Consultations with a Nutritional Therapist include taking a detailed case history, performing a physical exam if relevant, creating a dietary, lifestyle and supplement plan and additional testing (if necessary), and following up on results and progression of your health. Nutritional Therapy employs a range of therapeutic techniques including dietary advice, supplements, testing, lifestyle advice and health coaching.
While the best course of action is continually sought for the patient there always exists the possibility of side effects, adverse reactions or inefficacy of treatment. Ashley Ahrens holds your safety and well-being as her top priority in the management of your case and welcomes all questions or concerns you may have. Contact Ashley via email: hello@ashleyahrensyoga.com or WhatsApp +447482888878
In agreeing to these terms, I acknowledge that:
1. Ashley Ahrens has in no way suggested that my being under her care should prevent me from seeking treatment from any other healthcare practitioner.
2. Ashley Ahrens will strive to deliver the safest and most effective interventions for my case, however there is still the possibility that side effects or adverse reactions might occur, or that therapeutic benefit may not be achieved.
3. I will inform Ashley Ahrens of all medical conditions I have been diagnosed with, symptoms I am experiencing, and medications I am taking/have taken in the past. I will also inform her of any new medical conditions or symptoms or medications should they arise.
4. I will inform Ashley Ahrens if I am pregnant or breastfeeding. I will immediately inform her should I become, or plan to become pregnant or if I begin, or plan to begin to breastfeed.
5. I will inform Ashley Ahrens if I do not understand any given part of the recommendations given to me or if I am uncomfortable with any aspect of my care.
6. All of the information I provide to Ashley Ahrens are protected by General Data Protection Regulations and are confidential unless disclosure is required by law.
7. My case information may be used for the publication of case reports or case studies. Any information concerning my identity will be excluded from publication, thus maintaining my anonymity.
8. I am free to purchase any products recommended by Ashley Ahrens for my treatment from a vendor of my choosing.
9. I have read and understood Ashley Ahrens’ fee and prices schedule.
Unless otherwise agreed via email with hello@ashleyahrensyoga.com:
New Client Package Fee £285
Initial Consultation – 90 minutes
Follow-up consultation – 45 minutes
The first follow up consultation needs to be booked within 15 weeks of the initial appointment, unless otherwise agreed.
3x Follow Up Nutrition Sessions £275
45 minutes each
1x Follow Up Nutrition Session £100
45 minutes
Mini-Consultation £135
60 minutes
All Sessions & Follow Ups to be used within 1 year of purchase.
Payment of the package is due via online card payment in advance to confirm our first appointment. The client agrees to pay the total package price minimum 24 hours before the initial consultation. Ashley Ahrens Yoga + Nutrition does not offer refunds once the payment has been made.
Cancellation policy:
I require 24 hours notice for cancellations.
If you cannot attend a session that has been booked, you are able to reschedule via the link in your Acuity Scheduling confirmation email at any time up to 24 hours prior to the session.
Late cancellations (24 hours or less before the appointment) or missed appointments/no shows will mean the client forfeits the session booked and will not receive a refund for the service missed, no exceptions.
If you require assistance for rescheduling you can email me at hello@ashleyahrensyoga.com no later than 24 hours prior to the scheduled session.
By clicking the ‘YES’ box during my booking and payment, I confirm I have read and understood the information presented above and that I authorise and consent to my present and future use of the Nutritional Therapy services by Ashley Ahrens. I understand that I may withdraw this consent at any time by formally emailing Ashley Ahrens at hello@ashleyahrenyoga.com.