Perpetual Rejuvenation
Consent Statement for Clients
I understand that
- Perpetual Wellbeing Pty Ltd operates a naturopathic and nutritional clinic and NOT a medical practice.
- Medicines can only be dispensed with a prescription authorised by a qualified naturopath/ nutritionist.
- All consultation fees and medicines are paid for at the time of consultation and that no credit is provided.
- The type of information collected will be of a personal, private and medical nature and consequently will be kept confidential by the consulting naturopath/ nutritionist and by Perpetual Wellbeing Pty Ltd.
- Case notes and all information collected remain the property of Perpetual Wellbeing Pty Ltd and that I may have access to my case notes on application and a protocol for this access will be provided at this time.
- My case notes may be reviewed by other qualified naturopaths/nutritionists employed by Perpetual Wellbeing Pty Ltd as part of our quality assurance and continual improvement processes.
- The consulting naturopath/nutritionist I see may change from time to time.
- Some of the examination may involve physical contact and at times this may require me to partially disrobe.
I give my consent to all of the above and confirm that I have fully understood this and any additional explanation provided by the consulting naturopath/nutritionist.