Informed Consent & Disclosure

Informed Consent for Nutritional Consulting

I understand that Dr. BB Burcu Beba is a Doctor of Clinical Nutrition, not a Medical Doctor/Physician. She may recommend foods, nutritional supplements or herbs (from plant, animal and mineral sources) that are generally considered safe in the practice of nutrition, although some may be toxic in large doses. Nutritional supplements have not been evaluated by the FDA to diagnose, treat, cure or prevent any disease. However, the recommended products are medically research based for ingredients and dosages. I understand that some herbs and supplements may be inappropriate during pregnancy. Some possible side effects of taking herbs or supplements may include and are not limited to gas, bloating, diarrhea, rashes, hives, and nausea. There are possible contraindications with certain prescribed medications. I understand the nutritional supplements are best when used over time. They are NOT prescriptions and are not fast acting. They may help preventively and correctively, however, every person responds differently to supplements.

Generally, benefits from supplements may be noticed in 12 weeks and may be utilized for a long period of time.

I will notify Dr. BB Burcu Beba of all medications, prescribed and over-the-counter that I am taking. I will also notify Dr. BB Burcu Beba if I add a prescribed or over-the-counter medication while under her consulting sessions. I will notify BB Burcu Beba if I become pregnant.

I do not expect Dr. BB Burcu Beba to anticipate and explain all possible risks and/or complications of nutritional consulting.

I understand that BB Burcu Beba may review my health history, medical records or lab reports. All records will be kept confidential and will not be released without my permission.

I understand that Dr. BB Burcu Beba may consult with a medical professional in regard to my health, with my written consent.

I understand that there are no guaranteed results for weight loss or health improvements. This program is voluntary and requires my commitment to lifestyle and dietary changes.

I understand that Dr. BB Burcu Beba or her team cannot be held responsible for any side effects or health issues that may arise anytime during our work. Any work done together is agreed by me and some individual consequences cannot be foreseen before the program.

By voluntarily agreeing below, I show that I have read this consent to nutritional consulting. 

Consent and Disclosure for Nutritional Counseling

GOAL: The nutrition consultants’ goal is to encourage patients to become knowledgeable about and responsible for their own health and to help them to reach a personal optimum level. Nutritional

counseling is designed to improve your health but is not designed to treat any specific disease or medical condition. Reaching the goal of optimum health, absent other non-nutritional complicating factors, requires a sincere commitment from you, possible lifestyle changes, and a positive attitude. The nutrition consultant will evaluate your nutritional needs and make recommendations of dietary change. The nutrition consultant may review and use laboratory analysis to help investigate your nutritional needs.

The services provided by the nutrition consultant shall include, but not be limited to, nutritional

assessment of eating behaviors and beliefs, strategies to overcome barriers to change, suggestions for moderate physical activity (using guidelines established by patient’s healthcare providers), use of counseling therapies, routine follow-ups and re-evaluations as you learn and practice new lifestyle choices. Patient acknowledges and understands that treatments and advice will be made in their best interest using the information provided by them. The nutrition consultant will exercise judgment based upon current scientific research and patient’s unique physical and psychological characteristics.

No comment or recommendation should be construed as being a medical diagnosis. Since every human being is unique, the nutrition consultant cannot guarantee any specific result from a recommendation.

HEALTH CONCERNS: If you suffer from a medical or pathological condition, you need to consult with

an appropriate healthcare provider. Consulting with the nutrition consultant is not a substitute for being treated by your primary care provider or other appropriate healthcare practitioner. The nutrition consultant is not trained nor licensed to diagnose or treat pathological conditions, illnesses, injuries or diseases. A nutrition consultant is not a substitute for your family physician or other appropriate healthcare provider.

If you are under the care of another healthcare provider, it is important that you contact said healthcare provider and alert them to the fact that you will be embarking on a program of nutritional counseling.

Nutritional counseling may be a beneficial adjunct to more traditional care, and it may also alter your

need for medication—thus it is important that always keep your physician informed of changes to your nutritional program. I will not/cannot prescribe medication nor advise you to discontinue prescription medication. If you are using medications of any kind, you are required to alert the nutrition consultant to such use, as well as discuss any potential interactions between medications and the nutritional changes to your diet. If you have any physical or emotional reaction to nutritional therapy, discontinue use immediately, and contact the nutrition consultant to ascertain if the reaction is adverse or an indication of the natural course of the body’s adjustment to therapy.

Informed Consent for Energy Consulting & Health Coaching

I understand that Nesko Elden is a Certified Health Coach, Food scientist and an Energy Healer, not a Medical Doctor/Physician. She may recommend foods,  herbs (from plant, animal and mineral sources) that are generally considered safe in the practice of nutrition, although some may be toxic in large doses. I understand that some herbs and supplements may be inappropriate during pregnancy. Some possible side effects of taking herbs may include and are not limited to gas, bloating, diarrhea, rashes, hives, and nausea. There are possible contraindications with certain prescribed medications. She can recommend various energy modalities to assist body in feeling better and harmonized. This is in no way a replacement for your regular health screenings, therapies or medications. She will not give any consulting on medications nor should be asked to. We recommend consulting your primary care provider for health issues you're experiencing, or medication modifications

I do not expect Nesko Elden to anticipate and explain all possible risks and/or complications of energy consulting.

I understand that Nesko Elden along with Burcu BB Beba may review my health history, medical records or lab reports. All records will be kept confidential and will not be released without my permission.

I understand that there are no guaranteed results for weight loss or health improvements. This program is voluntary and requires my commitment to lifestyle and dietary changes.

I understand that Dr. BB Burcu Beba, Nesko Elden or their team cannot be held responsible for any side effects or health issues that may arise anytime during our work. Any work done together is agreed by me and some individual consequences cannot be foreseen before the program.

By using this site and links shared, I agree that I have read and consent to above info and nutritional services offered/provided.