Delighted to Meat You!

Dr Jennifer Geissert, Doctor of Physical Therapy, Carnivore Education and Coaching

The following Coaching Services Agreement and Disclaimer details the relationship between you and Jennifer Geissert during your coaching program. Please review the agreement below. If there are no questions, check the boxes, fill in your name, fill in your email, and submit the form. If you have questions prior to submitting the form, please contact Jennifer directly to discuss them.
Coaching Services Agreement

Before beginning coaching with Jennifer Geissert; DPT (Delighted to Meat You), please read the following information carefully and then sign and date.

Coaching Goal

The fundamental goal of this coaching is for you to become knowledgeable about—and responsible for—your own health. Jennifer Geissert helps individuals reach their optimal level of overall health by providing education and support for a nutrient-dense, meat-based diet. 

By adopting a more nutrient-dense diet, the body's chemistry can be brought back into natural balance, setting the stage for optimal health. 

This coaching is not designed, however, to treat any specific disease or medical condition. No comment or recommendation from Jennifer Geissert 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, coaching with Jennifer Geissert is not the right approach for you. Since every human being is unique on a biochemical level, no specific result is guaranteed from this coaching.

Coaching Goals Agreement

Health Concerns

If you suffer from a medical or pathological condition, you need to consult with an appropriate healthcare provider. Jennifer Geissert is not a substitute for your family physician or other appropriate healthcare providers. Jennifer Geissert is not trained nor licensed to diagnose or treat pathological conditions, illnesses, 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 that Jennifer Geissert may provide education about.

This coaching 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 Jennifer Geissert to such use, as well as to discuss any potential interactions between medications and nutritional products with your pharmacist.

Health Concern Agreement

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 Jennifer Geissert

  • 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 Jennifer Geissert so she can stay abreast of your progress and provide the best course of action going forward. 

Communication Agreement

Client Privacy Policy

During the course of one-on-one coaching, Jennifer Geissert 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. 

To ensure the maximum benefit of one-on-one coaching, 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 Jennifer Geissert 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 Jennifer Geissert in writing.

Your Information will be retained for the length of time you are a client, after which reasonable steps will be taken to dispose of your Information in a secure fashion. Jennifer Geissert is committed to protecting client privacy and will uphold the privacy best practices and the policies laid out in the U.S. Standards for Privacy of Individually Identifiable Health Information. Jennifer Geissert 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 the Standards for Privacy of Individually Identifiable Health Information, your consent is required for Jennifer Geissert to collect, use, and disclose your personal information.

By signing below, you acknowledge consent for Jennifer Geissert to collect your Information. 

Client Privacy Policy

Refund Policy

Upon cancellation of this agreement by you for any reason, any and all unused funds or credits will be forfeited.

Jennifer Geissert reserves the right to modify or terminate services and the coaching relationship at any time for reasons such as, but not limited to, dangerous or criminal behavior, inappropriate or offensive behavior, or irresponsible or disrespectful behavior. Jennifer Geissert will notify you of the reason for termination or modification and cancellation will be effective immediately. In such a situation, at the discretion of Jennifer Geissert, a refund may or may not be issued for any remaining sessions or services that were paid for but not completed.

Refund Policy

Client Information and Signature

Signature Confirmation

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