Upon enrolling in our program, kindly be aware of our commitment policy. By signing up, you agree to a three-month engagement period. This timeframe is designed to provide you with the best possible outcomes in addressing your health concerns effectively. During these three months, our dedicated team will work diligently to assess, design, and implement a personalized plan tailored to your needs. Your commitment ensures a comprehensive approach and allows us to track progress, make necessary adjustments, and achieve lasting results. Thank you for your understanding and partnership on this transformative journey towards improved well-being.
Cancellation Policy/No Show Policy: Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the therapists' day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice, or miss their appointment, will be charged a $25 cancellation fee.
This Consent and Expected Results Policy ("Policy") outlines the procedures for obtaining informed consent and establishing realistic expectations for potential outcomes at the BioGut Clinic and BioARo Inc. This Policy is designed to ensure that patients receive clear and comprehensive information about their medical procedures and treatments.
At BioGut Clinic c/o BioAro Inc. we are committed to providing comprehensive and collaborative healthcare services. The BioGut clinic brings together a team of specialized healthcare professionals to address the diverse needs of patients with gastrointestinal concerns. Before receiving services from our clinic, we want to ensure that you have a clear understanding of the nature of our services, the potential benefits, risks, and alternatives, and that you give your informed consent for your participation.
The purpose of this informed consent is to ensure that you have been provided with all the necessary information about the services offered at the BioGut Clinic. This information will help you make an informed decision about whether to proceed with the recommended diagnostic and treatment procedures.
The BioGut Clinic brings together a team of healthcare to collaboratively evaluate and manage your gastrointestinal health concerns. This may include diagnostic tests, consultations, activity regimes, counseling sessions, medical treatments, and dietary recommendations.
While our goal is to provide comprehensive and effective care, it's important to understand that there are both potential benefits and risks associated with the services offered at our clinic. These benefits and risks will be discussed with you in detail during your consultation with the healthcare professionals involved.
Participation in the BioGut Clinic is entirely voluntary. You have the right to ask questions, seek further information, and take your time to make an informed decision about your care. Your decision to participate or not participate in any recommended procedures will be respected.
Your privacy and confidentiality are of utmost importance to us. Your medical information will be handled in accordance with all relevant privacy laws and regulations.
Patients must possess the capacity to provide informed consent. For minors or patients lacking the capacity to provide consent, a legally authorized representative may provide consent on their behalf.
Signed consent forms will be maintained in patients' medical records as evidence that the patient or their representative has been adequately informed and has agreed to the proposed procedure or treatment.
I have read and understood the information provided in this Informed Consent for the BioGut Clinic. I have had the opportunity to ask questions and have received satisfactory answers. I hereby consent to receiving services from the BioGut Clinic, under the care of the healthcare professionals involved.
Please take your time to read and understand this informed consent form. If you have any questions or concerns, please don't hesitate to ask our healthcare professionals before signing. Your well-being and informed decision are our top priorities.
I hereby release and discharge, indemnify, and hold harmless BioGut Clinic, their officers, agents, employees, and persons acting on their behalf, from all claims, demands, costs and expenses, and causes of action, either in law or equity arising out of or in any way connected to services I receive from BioGut Clinic. I have read this consent form and terms contained herein carefully. I understand the terms of this form fully and voluntarily agree to be bound by them.
Clinic healthcare professionals will engage in discussions with patients about potential outcomes, setting realistic expectations for the results of medical procedures and treatments. It's important for patients to understand that outcomes can vary, and not all outcomes may be favorable.
Patients will be informed about the inherent uncertainties in medical procedures and treatments, along with potential risks, complications, and unanticipated outcomes.
Patients are encouraged to maintain open communication with their healthcare providers regarding their expectations, concerns, and changes in their health status. This dialogue is essential for adjusting care plans as necessary.
Should a patient's progress not align with the anticipated outcomes of a treatment or procedure, the Clinic's healthcare team will collaborate with the patient to reevaluate the situation and modify the treatment plan as needed.
No guarantee has been given by anyone as to the results that may be obtained by any treatments. There are no guaranteed results and that independent results are dependent upon age, medical conditions, previous history and lifestyle and that there is the possibility I may require further treatments to obtain the expected results at an additional cost.
I hereby release and discharge, indemnify, and hold harmless the BioGut Clinic and/or BioAro Inc., their officers, agents, employees, and persons acting on their behalf, from all claims, demands, costs and expenses, and causes of action, either in law or equity arising out of or in any way connected to services I receive from the BioGut Clinic and/or BioAro Inc. I have read this consent form and terms contained herein carefully. I understand the terms of this form fully and voluntarily agree to be bound by them.
I give consent to BioAro to provide Counselling to me. The consult will provide information and guidance about health factors within my own control: my diet, nutrition, and lifestyle.
I understand that staff at BioAro are Registered Dietitian, Nutrition Experts, Mental health counsellors, kinesiologists or health coachesand not medical physicians. Thus, they will not diagnose medical conditions, but will provide support and education for an already diagnosed condition. While support can be an important compliment to my health and disease management, I understand these services are not a substitute for medical care.
Methods of evaluation or testing made available to me are not intended to diagnose disease. Rather, these assessment tests are intended as a guide to developing an appropriate health-supportive program for me, and to monitor my progress in achieving my goals. Medical records and personal information and history divulged in session to BioAro will be kept confidential, unless I consent to sharing my medical information.
I hereby release and discharge, indemnify, and hold harmless BioAro, their officers, agents, employees, and persons acting on their behalf, from all claims, demands, costs and expenses, and causes of action, either in law or equity arising out of or in any way connected to services I receive from BioAro. I have read this consent form and terms contained herein carefully. I understand the terms of this form fully and voluntarily agree to be bound by them.
For some treatments, a DEXA bone densitometry may be suggested to provide further information. DEXA bone densitometry is a simple, quick and noninvasive procedure. The amount of radiation used is extremely small—less than one-tenth the dose of a standard chest x-ray, and less than a day's exposure to natural radiation. I consent to having the DEXA Body Composition completed.
I hereby authorize BioGut Clinic and/or BioAro Inc. and associated team members, to use reasonable means to protect the security and confidentiality of information sent and received using the electronic communications platforms. However, because of the risks outlined below, BioGut Clinic and/or BioAro Inc. and associated team members, cannot guarantee the security and confidentiality of electronic communications:
I hereby certify that BioGut Clinic and/or BioAro Inc has been authorized to submit claims on my behalf to my insurance company and the information contained in the claims is complete and accurate.
I am responsible to pay the co-payment, if applicable, at the time of each appointment.
I understand that I am fully responsible to make full payment if my insurance company denies my claim.
I agree to put a credit card on file or to cover any overages my Extended Health Care may not cover.
I authorize BioGut Clinic and/or BioAro Inc. to charge my credit card on file or use the deposit for any overhead costs my Extended Health Care does not cover. I understand that my information will be saved on file for future transactions on my account.
I authorize the BioGut Clinic Clinic to charge my credit card above for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account.
At the BioGut Clinic, we are dedicated to providing quality healthcare services and personalized treatment options to address your gastrointestinal health needs. We strive to ensure that you receive the highest level of care and attention from our team of healthcare professionals. In alignment with this commitment, we would like to inform you of our No Refund Policy for the services rendered at our clinic.
Policy Details
If you have any questions or concerns about this No Refund Policy or the services provided at the BioGut Clinic, please feel free to contact our clinic administration. We are here to address any inquiries you may have. By signing below, you acknowledge that you have read, understood, and agreed to the terms of our No Refund Policy for the services rendered the BioGut Clinic
Please carefully review and consider the terms of this policy before signing. If you have any questions, please seek clarification from our clinic administration. Your understanding and cooperation are greatly appreciated.
