Informed Consent

Statement of Non-Medical, Non-Treatment Facility

At Total Health Institute We do not treat any symptom, condition or disease with the programs. They are solely to help the body go into a higher state of balance, homeostasis and harmony. All medical symptoms, conditions and diseases must be treated by and followed up with your chosen medical doctor.  The Total Health Institute’s programs do not take the place of standard medical treatment.

IF AT ANY TIME YOU ARE IN NEED OF MEDICAL CARE OR A MEDICAL FACILITY YOU WILL HAVE TO CONTACT YOUR MEDICAL DOCTOR FOR ADVICE.

NUTRITIONAL INFORMED CONSENT

According to the Federal Food, Drug, and Cosmetic Act, as amended, Section 201 (g) (1), the term “DRUG” is defined to mean: “Articles intended for use in the Diagnosis, Cure, Mitigation, Treatment or Prevention of disease.”

A Vitamin is not a drug, NEITHER is a Mineral, Trace Element, Amino Acid, Herb, or an Energetic/Homeopathic Remedy. Although a Vitamin, a Mineral, Trace Element, Amino Acid, Herb or Energetic/Homeopathic Remedy may have an effect on any disease process or symptoms, this does not mean that it can be misrepresented or be classified as a drug by anyone. Therefore, please be advised that any suggested nutritional advice or dietary advice is not intended as a primary treatment and/or therapy for any disease or particular bodily symptom. Nutritional counseling, vitamin recommendations, nutritional advice, and the adjunctive schedule of nutrition is provided solely to upgrade the quality of foods in the patient’s diet in order to supply good nutrition supporting the physiological and biomechanical processes of the human body.

By reading this notice, filling out the form below and hitting “Send”,  I am stating that I am in agreement with the terms stated above:

Your Name (First and Last)*

Your Email*

Your birthdate:
Month Day Year

You may remove consent by emailing at (email address which will be monitored by Dr. or Staff), or by calling the Institute at 630-871-0000 (pending verification by Dr. Nemec)