It is wise to discuss services with your client prior to starting their evaluation. I then have them sign and date the disclaimer reflecting our dialog. A sample of that disclaimer appears below. Prior to use, please make changes to reflect legal issues within your own state or office environment.

Your Company Name Here

• Naturopathic Doctors (ND’s) are not Medical Doctors (MD’s).

• I understand that I should continue to see any medical doctors I am currently under the care of, and that any prescription medication should not be altered without first consulting the Doctor who recommended it.

• I understand that I may be referred to another member of the health team to seek further care if deemed necessary.

• ND’s are trained specialists who use non-invasive natural medicine, such as vitamins, minerals, herbs and dietary changes to create a healthy environment in the body.

• Your visit today is based on the belief that the body has a natural ability to heal itself, if given an appropriate internal and external healing environment.

• Nothing said, done, typed, printed or reproduced by us is intended to diagnose, prescribe, treat or take the place of a licensed physician.

• Signs of physical, mental, supplemental deficiency or dietary stressors may be identified today. Information about traditional uses of supplementation that may create a healthy balance in the body may be discussed. This is not intended to be interpreted as a substitute for a licensed Physicians treatment.

• I am not on this visit or any subsequent visit acting as an agent for the federal, state, county, local agencies or news media on a mission of entrapment or investigation.

• I have read and discussed the above information and agree with it completely.

Signed___________________________________________ Date__________

Please Print Name Here____________________________________________