I understand that the services performed by Eileen M. Wrobleski, ND, CNC, HHP are at all times restricted to consultation on the subject of nutritional matters intended for the maintenance of the best possible state of nutritional health. I understand I will be offered information about food, supplements, herbs and homeopathics as a guide to general good health and this is considered a personal ministry and spiritual
counseling.

I understand that Eileen M. Wrobleski, ND, CNC, HHP and her team provide nutritional and other health-related information to help me attain and enjoy my best state of health, through personalized recommendations in lifestyle, exercise, health habits and advanced nutrition. I understand that the recommendations, discussion, sale of herbal remedies, nutritional supplements or homeopathics pertain to the whole-body energetic concept of nutrition and do not relate to the treatment of any specific ailment or condition.

I fully understand that Eileen M. Wrobleski, ND, CNC, HHP and her team are not medical doctors or practitioners. I am not receiving consultation for medical diagnosis or medical treatment procedures. Appointments do not involve diagnosis, prognostication, treatment or prescription of medicines for illness or disease, or any act that will constitute the practice of medicine in the state of Georgia.

I am here solely on my own behalf and not as an agent for any federal, state or local agencies on a mission of entrapment or investigation. I also certify that I am signing my own true, given, legal name and not an alias or false name.

I agree to pay for services rendered as the charge is incurred. I understand that a 24-hour notice of cancellation must be given or a fee equivalent to half the scheduled service may be charged.