Working with Happiness is Health
Nutritional Therapy LLC
1. INITIAL PHONE CONSULTATION
2. CHOOSE & PAY FOR SERVICES
Insurance is not accepted at this time. Some insurance companies allow for reimbursement via Nutritional Therapy receipt or your physician's recommendation for nutritional services (please request this form from us).
3. SIGN DISCLAIMER
Services will not be rendered until Disclaimer has been signed and returned.
4. SUBMIT YOUR INTAKE INFORMATION
Initial Interview, Nutritional Assessment Questionnaire, Food & Reaction Journal.2 Please fill out these forms as thoroughly and honestly as possible. Happiness is Health is a judgement free zone. If you eat donuts everyday, smoke on Saturdays, only eat bananas, watch 7 hours of television a night, or jog 10 miles a day, please include these, as this information is an important part of your health.
5. SCHEDULE APPOINTMENT
We will discuss your information, have a Q & A, interpret your nutritional status, and discuss recommended protocols. Future appointments will be scheduled as needed or per chosen program.
My Polices:
Nutritional Therapists assess, recommend, and guide. Because we cannot guarantee that a client has followed recommended protocols and lifestyle changes, refunds for services are not issued.
If a client has entered into an agreement/contract with Happiness is Health, and has prepaid for services, but was unable to continue due to proof of a medical emergency within 14 days of payment date, a full refund will be issued per client/guardian written request.
My policy allows for 1 reschedule at no charge after missing an (original) Nutritional Assessment, Functional Evaluation, Root Cause, or Follow Up appointment. If a rescheduled appointment is missed, there will be a charge of $50 to reschedule, or the appointment will be forfeited with no refunds. All original and/or rescheduled appointments must be within 3 months of originally submitted intake forms, or client's Nutritional Assessment will become Null & Void, due to the fact that nutritional status can change after this amount of time and must be reassessed utilizing updated intake forms, updated agreement, and additional payment (if appropriate).
No refunds will be issued due to lack of client participation.
