Medical Waiver & Liability Release Form
CUSTOMIZED NUTRITION PROGRAM WAIVER AND RELEASE OF LIABILITYĀ
By checking the box labeled "Yes, I have read and agree to the Medical Waiver" at checkout and completing my purchase, I confirm that I have read, understood, and agree to the following terms of participation in the customized nutrition program provided by Dr. Laleh Talebian, Ph.D., Owner of DNA Wellness.
- I understand that this nutrition program is not a substitute for medical advice, diagnosis, or treatment from a licensed medical doctor.
- I have disclosed all relevant health conditions, allergies, and dietary restrictions to the provider to the best of my knowledge.
- IĀ may choose to consult with my physician before making any significant dietary changes, especially if I have cancer, a chronic health condition, or other medical concerns.
- I acknowledge that there are potential risks associated with dietary changes and participation in this program, and I voluntarily assume full responsibility for any outcomes.
- I release and discharge Dr. Laleh Talebian, Ph.D., Owner of DNA Wellness, and all representatives from any liability for injuries, damages, or losses that may result from my participation in this program.
By proceeding with my purchase, I affirm that I have read and agree to this waiver and release of liability.
Ā