Clinical Consent Form

Edel Dietitian – Client Consent Agreement

Effective Date: 1st May 2026

This agreement applies to all clients receiving dietetic services from Edel Dietitian, owned and operated by Edel Warke (“Practitioner”).

1. Nature of Services

Dietetic services provided include:

• Evidence-based nutrition assessment

• Personalised dietary advice

• Behavioural and lifestyle guidance

• Ongoing monitoring and support

These services are based on current scientific evidence and professional judgement.

2. No Medical Diagnosis

You acknowledge that:

• Dietetic services are not a substitute for medical care

• The Practitioner does not diagnose medical conditions unless explicitly qualified and permitted by law

• You are responsible for consulting your GP or specialist where appropriate

3. Client Responsibility

You agree that:

• You will provide accurate and complete health information

• You will inform the Practitioner of any changes to your health or medication

• You are responsible for implementing dietary advice

Outcomes depend on individual adherence and physiological factors.

4. Informed Consent

By engaging in services, you confirm that:

• You understand the nature and purpose of the consultation

• You have had the opportunity to ask questions

• You consent to receiving dietetic advice voluntarily

5. Risks & Limitations

You understand that:

• Nutrition interventions may involve dietary changes that require adjustment

• There is no guarantee of specific outcomes

• Results vary between individuals

6. Confidentiality

All personal and health information:

• Will be treated confidentially

• Will only be shared where required by law or with your consent

• Will be handled in accordance with applicable data protection laws

7. Data Use

Your data may be used to:

• Deliver dietetic services

• Maintain clinical records

• Improve service quality

Full details are outlined in the Privacy Policy.

8. Payment & Cancellation

• Fees must be paid in advance unless otherwise agreed

• Cancellations require [24–48 hours] notice

• Missed appointments may be charged in full

9. Limitation of Liability

To the fullest extent permitted by law:

Edel Dietitian and Edel Warke are not liable for:

• Outcomes resulting from client decisions or non-adherence

• Adverse effects where advice has not been followed correctly

• Indirect or consequential losses

10. Consent Declaration

By proceeding with services, you confirm that:

• You have read and understood this agreement

• You voluntarily consent to dietetic services

• You accept full responsibility for your health decisions