Personal Information Form

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    Informed Consent Form & Terms for Nutritional Counseling

    give consent to DIET CHEMISTRY (Gurleen Kaur) to provide Nutrition counselling to myself or the client for which I am legally responsible. In any of the condition. MONEY WILL NOT BE REFUNDED. IF ANY MEDICAL CONDITION KINDLY PROVIDE WITH REPORTS AND PRESCRIPTION OF THE DOCTOR. (In any of the stage you can only freeze or transfer your package). Your opted package is ONLY VALID for 1 month extra. After that grace period your package will DISCONTINUE.

    I agree to all above mentioned conditions.