Welcome
Thank you for choosing to work with me on your wellness journey. This intake form helps me understand your unique health situation, goals, and concerns so I can create a truly personalised nutrition and wellness plan tailored specifically to you.
Please take 10-15 minutes to complete this form thoroughly. The more detail you provide, the better I can support you.
âś“ Your information is completely confidential and stored securely
âś“ You'll need to review and electronically sign the consent forms before submitting
Scope of Practice
Nutritional Therapy is the application of nutrition science in the promotion of health, peak performance and individual care. Nutritional Therapists consider each individual to be unique and recommend personalised nutrition and lifestyle programmes rather than a 'one size fits all' approach.Â
Practitioners never recommend nutritional therapy as a replacement for medical advice and always refer any client with 'red flag' signs or symptoms to their medical professional.
It is not within the scope of this practice to diagnose conditions or provide medical treatment.Â
As the client, you are responsible for contacting your GP or specialist about any health concerns you may have and of the naturopathic nutrition protocol this practice may recommend to you.Â
It is important that you disclose to this practice any and all medical conditions, diagnoses and symptoms you have as well as any medications, supplements, herbal medicines or alternative therapies you are taking as these may interact with the nutritional plan this practice may provide for you.Â
If you are unclear about any of the plan recommended to you by this practice, you should contact us immediately for clarification. Any timeframes given on protocols should be adhered to and you should not continue with recommendations made outside of this plan unless agreed with Lisa Swabel to avoid any adverse reactions.Â
Please ensure you report any concerns about your plan, or adverse reactions, immediately to Lisa Swabel.
Terms of EngagementÂ
I understand that the purpose of working with Lisa Swabel is to help me gain a better understanding of my diet and its role in health. The role of Lisa Swabel is to develop an appropriate health-supportive program for me, and to monitor my progress in achieving my goals.
I understand that the purpose of these sessions is not to diagnose or treat disease and these sessions are not a substitute for appropriate medical treatment.
I understand that Lisa Swabel will keep a record of our work together including screening forms and session notes. These will be stored securely and no information either verbal or written will be shared with a third party without my explicit consent.
I understand that my email address will be added to the Lisa Swabel Nutrition mail list to keep me updated on clinic news and services. I understand that I can unsubscribe to these emails at any time.
I understand that I need to give at least 24 hrs notice of any cancellations or else the full cost of a session will be due.
