NTP Name: Priscilla Dhillon

Before beginning Nutritional Therapy with your Nutritional Therapy Practitioner (“NTP”), please read the following information carefully and then sign and date the Disclaimer.

NUTRITIONAL THERAPY GOALS

The fundamental goal of Nutritional Therapy is to encourage people to become knowledgeable about—and responsible for—their own health. An NTP helps individuals reach their optimal level of overall health by supporting and bringing balance to the Foundations of Health listed below. 

Nutrient-Dense Diet

• Sleep
• Stress
• Digestion
• Blood Sugar Regulation

By supporting each of these Foundations, the body's chemistry and function can be brought back into natural balance, setting the stage for optimal health.

Nutritional Therapy is not designed, however, to treat any specific disease or medical condition. A Nutritional Therapy Practitioner is trained to evaluate your nutritional needs and make recommendations on dietary changes, lifestyle adjustments, and nutritional supplements, not medical diagnoses or prescriptions. No comment or recommendation from your NTP should be construed as a medical diagnosis or prescription.

Reaching optimal health requires sincere commitment, possible lifestyle changes, and a positive attitude. If you are not willing to change how you eat and live, nutritional therapy is not the right approach for you. Since every human being is unique on a biochemical level, we cannot guarantee any specific result from our programs.

HEALTH CONCERNS

If you suffer from a medical or pathological condition, you need to consult with an appropriate healthcare provider. An NTP is not a substitute for your primary care physician or other appropriate healthcare provider. A Nutritional Therapy Practitioner is not trained nor licensed to diagnose or treat pathological conditions, illnesses, injuries, or diseases or prescribe medications.

If you are under the care of another healthcare provider, it is important that you contact your other healthcare providers and alert them to your use of nutritional supplements. Nutritional therapy may be a beneficial adjunct to more traditional care, and it may also alter your need for medication, so it is important you always keep your physician informed of changes in your nutritional program.

If you are using medications of any kind, you are required to alert your NTP to such use, as well as to discuss any potential interactions between medications and nutritional products with your pharmacist. If you have any physical or emotional reaction to nutritional therapy, discontinue the recommendations immediately, and contact your NTP to ascertain if the reaction is adverse or an indication of the natural course of the body's adjustment to the therapy.

COMMUNICATION

Every client is a biochemical individual, and it is not possible to determine in advance how your body will react to the nutrients or supplements you need. It is sometimes necessary to adjust your program as we proceed until your body can begin to properly accept targeted nutrients geared to correct imbalances or deficiencies. It is your responsibility to do your part by:

• Following the nutrition guidelines provided by your NTP. 
• Eating a properly prepared, nutrient-dense diet.
• Avoiding harmful foods, substances, and behaviors.
• Moving your body daily.
• Getting plenty of sleep, rest, and relaxation.
• Staying in contact with the NTP so they can stay abreast of your progress and provide the best course of action going forward.

If your other healthcare providers have any questions regarding nutritional therapy, they are free to contact your NTP.

LICENSURE

NTPs are not licensed or certified by any state. The Nutritional Therapy Association, Inc.® provides a certification to students who have successfully met all course requirements, including a written and practical exam. Laws and regulations regarding certification and licensure requirements differ from state to state and occasionally change. Students and NTPs must research the laws in the state in which they intend to practice.

CLIENT PRIVACY POLICY

During the course of nutritional therapy, your NTP will ask that you provide relevant personal details and information relating to your background, health, lifestyle, etc. (hereafter referred to as “Information”), including but not limited to:

• Your full name, physical address, email address, phone number, date of birth, etc.
• Your health history, including injuries, surgeries, prescriptions, etc.

This Information will be gathered from you via in-person interviews, questionnaires, evaluations, intake documents, phone, email, mail, video conferences, etc., and used to:

• Help assess your nutritional needs.
• Make recommendations for dietary changes and nutritional supplements to support your specific nutritional needs and goals. 
• Comply with all legal and NTA training obligations.

To ensure the maximum benefit of nutritional therapy, it is important that your information is accurate and up to date. If you notice any changes to your health, begin taking new prescriptions, etc., please notify your NTP as soon as possible. It is also your right as a client to access, update, or delete your records at any time. To do so, simply notify your NTP in writing. Your NTP will retain your information for the length of time you are a client, after which they will take reasonable steps to dispose of your information in a secure fashion.

Though NTPs are not HIPAA regulated entities, the NTA is committed to protecting client privacy and requires students and graduates to uphold the privacy best practices and the policies laid out in the U.S. Standards for Privacy of Individually Identifiable Health Information. Your NTP will take all reasonable steps to protect your Information from unauthorized access, use, or disclosure by using strong passwords, up-to-date software on all devices, and locking file cabinets for physical documents. However, even the best security practices cannot guarantee that all stored data will be completely free from third-party interception or corruption.

In accordance with Standards for Privacy of Individually Identifiable Health Information, your consent is required for your NTP to collect, use, and disclose your personal Information. By signing below, you acknowledge consent for your NTP to collect your Information.

If you are working with an NTP student as a practice client, your client folder will be shared with the student’s instruction team for grading purposes and returned to you upon completion of the certification program.

If you wish to remain anonymous, please instruct the NTP student to use an alias on all client forms.

FORM FOR EDUCATIONAL PURPOSES ONLY

This disclaimer is valid for students to use while they are enrolled in the NTP program. The NTA recommends that NTPs modify this document to reflect their own business requirements and local laws when they graduate.