I understand that by submitting this form the following:
- I am over 18 years (inclusive) and have the ability to make my own decisions, if not I have my guardians / carers consent;
- I am not being forced into a consultation and attendance is my own decision;
- Any therapeutic strategies will be explained;
- It is solely my decision to participate in any suggested treatment strategies which must be done under the guidance of Liz Mountford of Food & Nutritional Therapies; and
- I have and will to the best of my knowledge supply correct and relevant information pertaining to this particular consultation.
- I am aware of the privacy policy found here https://www.fant.com.au/privacy-policy/ and at the top of this online form.