CHELSEY MARIE'S NUTRITION ACADEMY IS A HOLISTIC HEALTH COACHING PROGRAM WHICH INCORPORATES A METABOLIC BALANCE FOOD PLAN CREATED AND DESIGNED BY METABOLIC BALANCE. PLEASE READ THE FOLLOWING CAREFULLY BEFORE PARTICIPATING IN THE PROGRAM. IF ANYTHING IS UNCLEAN, PLEASE ASK.

The Program in which you are about to enroll in will include the following:

  • Six 50-minute group coaching calls each week for eight weeks, which will include a discussion of all participants progress and recommendations made be Chelsey Marie Fellmeth
  • A variety of handouts, video's and other materials.

SCHEDULING

As your Coach, I understand that my clients have busy schedules and I take pride in not keeping them waiting or keeping them longer than planned. Each group coaching call will end 50 minutes after it was scheduled to begin. Please be on time. If the Client can not attend the call then he or she forfeits the coaching session and will not have an opportunity to reschedule it.

Program begins

and ends

(“End Date”)


PAYMENTS AND REFUNDS

The Client understands that the regular cost of Nutrition Academy is a one time payment of $1499. However, registration today is only $1399, unless a coupon discount has been applied.

The Client understand that the regular cost of Detox Your Life is a one time payment of $249.00, unless a coupon of discount has been applied. Detox Your Life has a zero refund policy since all material and content can be accessed once enrolled and all content and material is downloadable.

The Client may try the program Nutrition Academy, and Nutrition Academy only for two weeks, before deciding that he/she wants to submit for a refund. If, and only if the Client does the homework for the two weeks that have been released and attend one of the two group coaching calls and is unhappy with the material that’s been delivered, than he or she can receive a refund for the coaching material, not including cost of the METABOLIC BALANCE FOOD PLAN or blood work cost. There is a strict zero refund for both the Client's food plan generated by metabolic balance and blood work. Once the Client has paid for Chelsey Marie's Nutrition Academy Program, a form of requisition will be sent to the Client giving them access to receive blood work through LifeLab's or Valley Medical Laboratories. This means that the cost of blood work will be an automatic non-refundable cost to the Client. Once the Client has filled out and submitted their personal information to receive their personal food plan brought to them by METABOLIC BALANCE, the Client will have another $250 non-refundable cost that cannot be refunded from the total cost of their enrollment. This tally's a total of $500 which include cost of blood work, meal plan, time imputing results, and charges that may have been applied to Chelsey Marie Fellmeth as part of the Client's enrollment. A total of up to $500 will be non-refundable to the Client even before thier two week trial is up. However, their meal plan and blood work results remain their forever.

Once the Client has paid for enrollment to attend Chelsey Marie's Nutrition Academy Program the cost of the Client's personal food plan and blood work are paid out by Chelsey Marie Fellmeth to METABOLIC BALANCE. Since these are paid out services and are both a ‘non-retrievable product’ no refund can be put into place.

Important: In order to be eligible for the course material content refund created and delivered by (Chelsey Marie Coaching) (Chelsey Marie's Nutrition Academy Program) the Client must submit all the homework completed for the two weeks released and attend one of the two group coaching calls.

In the event of the Client’s absence or withdrawal after the two weeks period, for any reason whatsoever, the Client will remain responsible for the full payment of the program.

The Coach reserves the right to remove the Client from Nutrition Academy and cancel their program if at any point she or he feels it is not advantageous for the Client to remain involved in coaching program . If this happens, the Client is only responsible for the payment of his/her metabolic balance meal plan and blood work.

DISCLAIMERS

The Client understands that the role of the Health Coach (Chelsey Marie Fellmeth) is not to prescribe or assess micro- and macronutrient levels; provide health care, medical or nutrition therapy services; or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body. Rather, the Coach is a mentor and guide who has been trained in holistic health coaching to help clients reach their own health goals by helping clients devise and implement positive, sustainable lifestyle changes. The Client understands that the Coach is not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist or other licensed or registered professional, and that any advice given by the Coach is not meant to take the place of advice by these professionals. If the Client is under the care of a health care professional or currently uses prescription medications, the Client should discuss any dietary changes or potential dietary supplements use with his or her doctor, and should not discontinue any prescription medications without first consulting his or her doctor.

The Client has chosen to work with the Coach and understands that the information received should not be seen as medical or nursing advice and is not meant to take the place of seeing licensed health professionals.

PERSONAL RESPONSIBILITY AND RELEASE OF HEALTH CARE RELATED CLAIMS

The Client acknowledges that the Client takes full responsibility for the Client’s life and well-being, as well as the lives and well-being of the Client’s family and children (where applicable), and all decisions made during and after this program.

The Client expressly assumes the risks of the Program, including the risks of trying new foods or supplements, and the risks inherent in making lifestyle changes. The Client releases the Coach from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which the Client ever had, now has or will have in the future against the Coach, arising from the Client’s past or future participation in, or otherwise with respect to, the Program, unless arising from the gross negligence of the Coach.

ARBITRATION, CHOICE OF LAW, AND LIMITED REMEDIES

In the event that there ever arises a dispute between Coach and Client with respect to the services provided pursuant to this agreement or otherwise pertaining to the relationship between the parties, the parties agree to submit to binding arbitration before the American Arbitration Association (Commercial Arbitration and Mediation Center for the Americas Mediation and Arbitration Rules). Any judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Such arbitration shall be conducted by a single arbitrator. The sole remedy that can be awarded to the Client in the event that an award is granted in arbitration is refund of the Program Fee. Without limiting the generality of the foregoing, no award of consequential or other damages, unless specifically set forth herein, may be granted to the Client.

This agreement shall be construed according to the laws of the province of British-Columbia. In the event that any provision of this Agreement is deemed unenforceable, the remaining portions of the Agreement shall be severed and remain in full force.

If the terms of this Agreement are acceptable, please sign the acceptance below. By doing so, the Client acknowledges that: (1) he/she has received a copy of this letter agreement; (2) he/she has had an opportunity to discuss the contents with the Coach and, if desired, to have it reviewed by an attorney; and (3) the client understands, accepts and agrees to abide by the terms hereof.

>>> CONSENT TO PARTICIPATION IN METABOLIC BALANCE PROGRAMS

Please carefully review this entire consent form. This form contains important information, rules and disclaimers regarding your participation in the Metabolic Balance Program. Please sign with your full name and signature at the end of this form.

Metabolic Balance endeavours to respect the person and his/her autonomy, to communicate informatively, openly and honestly and to be accountable to clients.

Certain medical studies have indicated that people weighing significantly more than their recommended weight could be at increased risk of many illnesses or diseases, including heart attacks, coronary, heart disease, high blood pressure, strokes, elevated cholesterol levels, kidney disease, gallbladder disease, diabetes, neurological disorders, some types of cancer and osteoarthritis.

The Metabolic Balance Program is a natural wellness and weight loss program promoting a balanced metabolism through customized personal nutritional adjustments. All foods recommended are natural. Other than customary multivitamin and mineral supplements, there are no pills, powders, chemicals or medications added to your nutrition. Usually the Metabolic Balance Program has no serious side effects.

However, certain health risks have been associated with weight loss. Any weight-loss program may cause conditions such as constipation, dizziness, diarrhea, dry or cold skin, gout, hair loss, headaches, irregular / stopping of menstruation, muscle cramping, loss of lean body mass, and reduced tolerance to cold. These are just examples; other symptoms and conditions may also occur.

During the Program you are advised to consult with a physician and stay under medical supervision.

Typical contraindications for not being able to participate in the Metabolic Balance Program are:

Pregnancy. If you become pregnant during the Program, you must stop the Program and can continue after the pregnancy.

Any other health condition or disease that may be affected adversely by weight loss.

The Metabolic Balance Program promotes a gentle and natural way to improve, and in some cases possibly restore, your metabolic balance, wellness and health. In the event that you are experiencing any medical problems or adverse changes in an existing medical condition, you must suspend the diet immediately, seek medical attention and notify your personal physician and your Metabolic Balance consultant. The Metabolic Balance Program cannot guarantee, but has shown, in certain cases, improvements in the following conditions:

Lowered Blood Pressure

Lowered Cholesterol Levels

Lowered Glucose Levels

Improved Liver functions

If you are on certain medications for the regulation of these or other medical conditions, have your physician monitor your values regularly (a weekly basis is recommended) for any needed adjustments of your medication.

The Metabolic Balance Program is an all-natural nutritional consulting program.

The Metabolic Balance Program has not been evaluated by the Canadian Food Inspection Agency, and is not intended to diagnose, treat, cure or prevent any disease. Pregnant women, women who may be pregnant, children under the age of 12, individuals over the age of 65 and people diagnosed with diabetes should consult with a medical doctor before utilizing the Program.

We will not give, and you will not receive, any medical advice from Metabolic Balance or any of its employees or associates. The required lab work will not be examined for any purpose other than preparing your personal Metabolic Balance Nutritional Plan.

Metabolic Balance, its employees and associates are not responsible for medical evaluation of lab values provided by you.

You are advised to have your doctor evaluate your lab work to ensure proper medical evaluation.

The Metabolic Balance Nutritional Plan you will receive, is customized for your personal needs, based on your lab values.

You cannot share the plan with another person, as that person will not benefit from your plan and also might experience adverse results.

Acknowledgement and Waiver

I have read all the foregoing information and that I understand that the ultimate responsibility for my health is my own.

I will be seeing a Health Coach and not a Medical Doctor

Any treatment or advice given to me as a client of this clinic is not mutually exclusive from any treatment or advice that I may receive now, or in the future, from another licensed health care provider.

I am at liberty to seek or continue medical care from a physician or surgeon or other health care provider.

No employee, agent, or anyone else under this clinic’s direction or control is suggesting or recommending to me to refrain from seeking or following the advice of another health care provider.

The programs rendered or recommended by this clinic may be different than those usually offered by a medical doctor or other licensed health care provider.

I have read, understood and agreed to all information, rules and disclaimers contained in this document. I have had the opportunity to discuss the above with my health practitioner and all my questions have been answered to my satisfaction. I HEREBY CONSENT TO PARTICIPATE IN THE METABOLIC BALANCE PROGRAM ACCORDINGLY.



By purchasing access to Dr. Rena Saini’s content in Detox your life program, you agree:

  • Not to share or speak about other Participants personal stories or experiences that are expressed and shared before, during or after coaching calls as well as after the program has ended.
  • Respect the privacy of other people that participants in the program.
  • That any confidential information shared by Detox your Life Participants is confidential and proprietary and belongs solely and exclusively to the Participant who discloses it.
  • Not to disclose such confidential information to any other person or use it in any manner other than in discussion with Detox Your Life Participants during coaching calls.
  • Respect the privacy and space of other Participants by not contacting or connecting with them unless they have given permission to do so publicly over Dr. Rena Saini’s private Facebook group or during group coaching calls.
  • The information, curriculum and content that you receive throughout the program is for your personal use only and not to be shared with others that are not enrolled with Detox your Life Program.
  • The information and content is also not to be sold, replicated or used in any other way, shape or form.

While you are free to discuss your personal results from the program and coaching, you must keep the experience and statements, oral or written, of all other participants in the strictest of confidence.

THIRD-PARTY PARTY MATERIAL AND WEBSITES

Dr. Rena Saini may provide links to third-party materials, audio's, websites and establish a Facebook group as a convenience to you and other Detox your Life Participants which may be withdrawn or terminated at any time without any liability on Dr. Rena Saini Naturopathic Doctor. You also agree that Dr. Rena Saini is not responsible for examining and evaluating the content and accuracy of any third-party materials, audio's, content or websites. Dr. Rena Saini Natuopathic Doctor does not warrant and will not have any liability or responsibility for any third-party material, content, audio's or website or for any other material, products or services of third parties.

Use of Non-Personal Data

We also store certain non-personal data when you visit our website. This limited information includes the browser type which you use and the operating system used by your computer. Our internet server also stores the number of visitors to our web pages, the number of pages visited and the amount of time you spend on our web pages. However, none of this data contains personal information about you. We know neither

your e-mail address nor other personal identification data, unless you communicate this to us.

Cookies

We collect web traffic information via “cookies.” Cookies are small pieces of digital information stored by your browser, which track initial and returning visits, browsing patterns on our website and products ordered or viewed. Our cookies do not contain personally identifying information, but they enable us to identify you as a returning visitor and help us to personalize your Detox Your Life experience.

Children

We are committed to protecting the privacy of children and we do not knowingly solicit personal information from children under the age of 13. If a child has already provided us with personal information, his or her parent or guardian may contact us for the purpose of deleting this information.

Web Beacons, Pixel Tags and Third Party Cookies

Dr. Rena Saini, Detox your Life or third parties engaged by us, may use web beacons on some pages of this website. A web beacon (also known as a pixel tag or clear GIF) is a graphic image which is used to better understand the browsing patterns of visitors to the website.

When the HTML code for the web beacon points to a site to retrieve the pixel image, information can be passed along such as: the IP address of the computer that requested the image; the time the web beacon was viewed and for how long; the type of browser that was used; previously set cookie values. Web beacons do not pass or read personally identifiable information about you.

Protecting Client Information

We take the privacy and security of your personal information very seriously. We use the industry standard technology to protect the security of your information. We have taken certain physical, electronic, contractual and managerial steps to protect the information we collect from you. Unfortunately, no data transaction over the Internet can ever be guaranteed to be 100% secure. As a result, while we are committed to protecting your personal information, we cannot ensure or warrant the security of any information you provide to us. All third parties that obtain personal information from us (e.g. service providers that perform functions on our behalf) are contractually required to protect your confidentiality and personal information in a manner consistent with this policy, and/or required by law.

Some or all of the personal information we collect may be stored or processed on servers located outside your jurisdiction of residence, whose data protection laws may differ from the jurisdiction in which you live. As a result, this information may be subject to access requests from governments, courts or law enforcement in those jurisdictions according to laws in those jurisdictions. Subject to applicable laws in such other jurisdictions, we will use reasonable efforts to ensure that appropriate protections are in place to require the data processor in that country to maintain protections on the personal information that are equivalent to those that apply in the country in which you live.

Third Party Websites

Our site may contain links to third-party websites, which may have privacy policies that differ from our own. We are not responsible for the activities and practices that take place on these sites. Accordingly, we recommend that you review the privacy policy posted on any site you may access through our site.

Disclosure of Information To Outside Parties

We may disclose your personal information under certain limited conditions, as follows: as necessary, if we believe that there has been a violation of our Terms and Conditions, of the law, of our rights or of the rights of any third party; to respond to judicial process and provide information to law enforcement agencies or in connection with an investigation on matters related to public safety, as permitted or required by law; if our company or substantially all of its assets are acquired, your personal information may be one of the transferred assets; if you have given us permission to share your account information with other members of your household.

Access to Your Information

You may contact us with a request to access, update or delete any information we have about you. We will respond to your request in a prompt manner, however, before we are able to provide you with any information, correct any inaccuracies or delete any information, we may ask you to verify your identity. You will also have the following rights with respect to your health information which we keep on file: inspect; copy; amend or correct incorrect information; an accounting of disclosures; request restrictions; request confidential communications; receive a copy of this Privacy Policy.

Your Consent and Notification of Change

By using our program, plan and our website you consent to the collection and use of your information by Detox Your Life. We reserve the right to change this Privacy Policy at any time, however, if there is a material change to our information usage practices in the future, we will notify you by email, at which time you will have the opportunity to opt-out of the new information usage. If you do not agree with any terms of this Privacy Policy, please do not use the website or submit any personal information.

Disclaimer

Dr. Rena Saini assumes no responsibility for incorrect information and contents generated or disseminated by participants and/or third parties.

Dr. Rena Saini BSc, ND



PATIENT CONSENT FORM FOR THE COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION

Privacy of your personal information is an important part of our office providing you with quality naturopathic care. We understand the importance of protecting your personal information. We are committed to collecting, using, and disclosing your personal information responsibly. We also try to be as open and transparent as possible about the way we handle your personal information. It is important to us to provide this service to our patients.

Dr. Rena Saini ND acts as the Privacy Information Officer

All staff members who come into contact with your personal information are aware of the sensitive nature of the information that you have disclosed to us. They are all trained in the appropriate uses and protection of your information. Attached to this consent form, we have outlined what our office is doing to ensure that:

  • Only necessary information is collected about you
  • We only share your information with your consent
  • Storage, retention, and destruction of your personal information complies with existing legislation and privacy protection protocols

Our privacy protocols comply with privacy legislation, standards of our regulatory body, College of Naturopathic Physiscians, and the law.

How This Office Collects, Uses, and Discloses Patients’ Personal Information

This office understands the importance of protecting your personal information. To help you understand how we are doing that, we have outlined here how our office will use and disclose your information.

This office will collect, use, and disclose information about you for the following purposes:

  • To deliver safe and efficient patient care
  • To identify and to ensure continuous high quality care
  • To assess your health needs
  • To provide health care
  • To advise you of treatment options
  • To enable us to contact you via phone email or letter.
  • To establish and maintain communication with you
  • To offer and provide treatment, care, and services in relationship to preventative medicine, acute and chronic naturopathic health care generally
  • To communicate with other treating health-care providers, including specialists, family practitioners, referring physicians, and any other provider involved in the care of a patient
  • To allow us to maintain communication and contact with you to distribute health-care information and to book and confirm appointments
  • To allow us to efficiently follow-up for treatment, care, and billing
  • For teaching and demonstrating purposes on an anonymous basis
  • To comply with legal and regulatory requirements, including the delivery of patient’s charts and records to the College of Naturopathic Doctors of Alberta (CNDA) in a timely fashion, when required.
  • Comply with the legal and regulatory requirements of the Drugless Practitioners Act.
  • To comply with the agreements / undertakings entered into voluntarily by the member with the AANP including the delivery and /or review of patient’s charts and records to the Board in a timely fashion for regulatory and monitoring purposes
  • To permit potential purchasers, practice brokers or advisors to evaluate the naturopathic practice
  • To allow potential purchasers, practice brokers or advisors to conduct an audit in preparation for a practice sale
  • To deliver your charts and records to the naturopathic doctor’s insurance carrier to enable the insurance company to assess liability and quantify damages, if any
  • To invoice for goods and services
  • To process credit card payments
  • To collect unpaid accounts
  • To assist this office to comply with all regulatory requirements
  • To comply generally with the law

By agreeing to the consent section of this Patient Consent From, you have agreed that you have given your informed consent to the collection, use and/or disclosure of your personal information for the purposes that are listed. If a new purpose arises for the use and/or disclosure of your personal information, we will seek your approval in advance.

Your information may be accessed by regulatory authorities under the terms of the British Columbia’s Personal Health Information Protection Act , CNDA of Alberta, and for the defense of a legal issue.

Dr. Rena Saini will not, under any circumstances, supply your insurer with your confidential medical history. In the event this kind of request is made, we will forward the information directly to you for review, and for your specific consent.

When unusual requests are received, we will contact you for permission to release such information. We may also advise you if such a release is inappropriate. You may withdraw your consent to use or disclosure of your personal information, and we will explain the ramifications of that decision, and the process.

Patient Consent: I have reviewed the above information that explains how your office will use my personal information, and the steps your office is taking to protect my information. I know that your office has a Privacy Code, and I can ask to see the Code at any time.

I agree to all of the statements above.