General Consent for Evaluation and Development of Treatment Plan for Clients of Totally About Diabetes

Consent for Participation

All content and media on the Totally About Diabetes Website are created and published online. This is for diabetes information and diabetes education purposes only. It is not intended to be a substitute for professional medical advice. This information should not be relied on as health or personal advice. You should continue medications and treatments prescribed by your medical provider. Any change in your treatment must be discussed with the prescriber.

Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. Never disregard the advice of a medical professional. Never delay in seeking professional advice because of something you have read on this Website.

Consent for Program Attendance

This consent provides us with your permission to provide education, instruction and  coaching services for diabetes and other related conditions. Our mission is to provide tips and strategies in diabetes education and self-care. The purpose of our services is to provide tips and strategies that are easy to implement. Our motto is “We make the complex concepts simple.” Click the link below to listen to the teaching on needing a diabetes educator or a diabetes Coach.

Do you need an educator or a Coach?

By signing below, you are indicating that you understand that this consent is ongoing and remain fully effective until revoked. You have the right to cancel at any time. There is a minimum 3 month commitment. You do have the opportunity to ask additional questions. Services may be discontinued after 3 months.

If you have any concerns regarding any recommendations, we encourage you to ask questions.

I certify that I have read and fully understand the above statements and consent fully and voluntarily to its contents.

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Date

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