I hereby acknowledge and agree:

This ASSUMPTION OF RISK AND RELEASE OF LIABILITY (this “Assumption and Release”) is entered into on the date set forth below by and between the client named on the signature page hereof (the “Client ”) and Jennifer Carrillo of Be Rooted in Wellness (the “Company”), an INTEGRATIVE HEALTH PRACTITIONER, (the “Practitioner”).

Before beginning NUTRITION AND INTEGRATIVE HEALTH EDUCATION with the Practitioner, the Client hereby acknowledges and agrees to the following for the benefit of the Company and the Practitioner:

1. PURPOSE. The purpose of nutrition and integrative health education is to encourage the Client to become an active participant in his or her own health and wellness. By supporting and educating the Client on the foundations of health and well-being and assisting the Client in implementing a nutrient-dense diet, lifestyle, and supplement education, the stage is set to bring the body back into its natural balance.
2. NO DIAGNOSIS OR TREATMENT OF MEDICAL CONDITIONS. The Practitioner is trained to evaluate Client’s nutritional needs and make diet, lifestyle, and non-medicinal supplement recommendations to support Client’s overall health, well-being and vitality. The Practitioner is not a licensed dietitian, medical physician, psychologist or naturopathic doctor. The Practitioner recommends to ALWAYS speak to a licensed medical provider prior to making any changes to the Client’s routine, including, but not limited to, nutrition, exercise, dietary supplementation, and use of home products and devices and personal care products. The Practitioner is not trained or licensed to, and does not, diagnose or treat any diseases, disorders, illnesses, injuries or conditions and none of the information, comments, or recommendations shared by the Practitioner should be taken as medical advice, prescription, disease diagnosis, disease prevention, or disease treatment.
3. HEALTH CONCERNS. If the Client suffers from a known or suspected medical or pathological disease, disorder or condition, the Client must promptly consult with an appropriate healthcare provider. The Practitioner is not a substitute for a licensed physician or other appropriate healthcare provider. If the Client is under the care of a healthcare provider, the Client will promptly contact such healthcare provider(s) and alert them to any changes in Client’s exercise routine, diet, and use of nutritional supplements. Client is not to change or discontinue treatments or recommendations prescribed by Client’s healthcare provider that prescribed any such treatments or recommendations without first consulting such provider. Furthermore, Client is not to delay or forego seeking medical advice or treatments because of any information or recommendations obtained from the Practitioner. It is Client’s responsibility to (i) disclose any medications and supplements that Client is currently taking to the Practitioner and (ii) discuss any potential interactions between medications and nutritional supplements with Client’s pharmacist or medical physician. If Client has any physical or emotional reaction to any change in diet, supplementation or lifestyle as recommended by the Practitioner, such change should be discontinued immediately.
4. OCCUPATIONAL THERAPY LICENSURE AND FUNCTIONAL NUTRITION INFORMED PRACTITIONER CERTIFICATION. The practitioner is a licensed OT in the state of CA and certified as a functional nutrition informed practitioner and provides integrative health and nutrition education through the lens of occupational therapy. The Practitioner is not licensed in nutrition or dietetics in any state. Laws and regulations regarding certification and licensure requirements relating to nutrition differ from state to state and are subject to change.
5. COMMUNICATIONS. In providing nutrition and health education to Client, the Practitioner is relying upon the accuracy, truthfulness and completeness of all information provided by the Client to the Practitioner. Accordingly, Client hereby acknowledges and agrees that all information Client provides to Practitioner will be accurate, truthful and complete in regards to Client’s health history, current and past medication and supplementation routine, and any other relevant information regarding Client’s nutrition, lifestyle, or current health status. Client also acknowledges and agrees that it is Client’s sole responsibility to keep Practitioner updated as to any changes to Client’s medication, supplements, lifestyle, or other routines or health history that Client has not yet shared with Practitioner. Nutrition and integrative health education is very individualized and it is impossible to anticipate every possible outcome or how any individual’s body will respond to any change. Client therefore acknowledges and agrees that it is of the utmost importance that Client keep Practitioner informed of any and all changes Client experiences and Client hereby agrees to so keep Practitioner informed of any and all changes Client experiences, as adjustments may need to be made to Client’s recommendations over time as Client and Practitioner work together to determine the best course of action.
6. WAIVER OF LIABILITY. Neither the Company nor the Practitioner is liable for the Client’s health or safety. In consideration of the Company’s receipt of nutrition and integrative health education services from the Practitioner, the Client hereby accepts all risks, including risk of injury or death, that may result from such services and the Client hereby releases the Practitioner and the Company, on the Client’s behalf and on behalf of the Client’s personal representatives, assigns, heirs, estate, and next of kin, from any and all liabilities, costs, claims, demands, causes of action and damages arising from any and all illness or injury to the Client’s person, including death, that may result from or occur as a result of the Client’s participation in the Company’s services whether caused by negligence or otherwise. The Client understands that the Practitioner may determine, in Practitioner’s discretion, whether some or all of the Client’s needs fall outside the scope of Practitioner’s practice, in which event the Practitioner may refer the Client to another practitioner. The Client assumes full responsibility for any manner of loss, injury, claim or damage whatsoever, known or unknown, incurred as a result of working with any other practitioner to which Practitioner may refer Client.
7. GOVERNING LAW. This Agreement shall be governed by and construed in accordance with the laws of the State of CA without regard to conflicts of law principles.
8. ENTIRE AGREEMENT/SEVERABILITY. This Agreement constitutes the entire agreement between the Company and Client with respect to the subject matter contained herein, and supersedes all prior and contemporaneous understandings and agreements, both written and oral, with respect to this subject matter. This Agreement may be amended only in writing executed by the Company and Client. If any term or provision of this Agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction.
9. SIGNATURE. I HAVE CAREFULLY READ THIS AGREEMENT, INCLUDING THE ABOVE RELEASE OF LIABILITY AND WAIVER, AND AGREE TO THE TERMS OUTLINED ABOVE. I UNDERSTAND THIS AGREEMENT TO BE A FULL AND FINAL RELEASE OF ALL COSTS, CLAIMS, CAUSES OF ACTION AND DAMAGES OF ANY KIND ARISING FROM OR IN CONNECTION WITH THE COMPANY’S AND THE PRACTITIONER’S SERVICES AND I VOLUNTARILY AGREE TO THE TERMS AND CONDITIONS STATED HEREIN.