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Informed Consent & Client Agreement

Tessa Scott (Practitioner), Registered Nutritionist and Medical Herbalist, trading as Tessa Scott Holistic Nutrition (Business), provides holistic nutrition and wellness services in accordance applicable laws in New Zealand.

 

I understand that the Practitioner takes a holistic approach to health and wellness and that treatments may include, but are not limited to:

  • Nutritional or dietary guidance

  • Practitioner-only supplements

  • Herbal medicine

  • Lifestyle prescriptions

  • Other modalities as deemed appropriate by the practitioner

 

Understanding of Treatment & Risks

 

I acknowledge that:

  • The Practitioner is not a medical doctor and does not replace conventional medical care.

  • Treatments may have potential risks and benefits, including but not limited to:

    • Risks: temporary aggravation of symptoms, allergic reactions, digestive discomfort, headaches, or other individual responses.

    • Benefits: symptom relief, improved overall health, nutritional balance, and disease prevention.

  • I will contact my Practitioner immediately if I experience any adverse reactions.

  • I do not expect guarantees of specific outcomes, as treatment responses vary.

 

I understand that I must not cease, alter, or adjust prescribed medications without consulting my treating medical practitioner. The Practitioner will work collaboratively with the client’s GP and healthcare team where appropriate.

 

I do not expect the Practitioner to be able to anticipate and explain all possible risks and complications. I wish to rely on the Practitioner to exercise judgement during the course of treatment, which the Practitioner feels at the time, based upon the facts known, is in my best interests. I understand that results or specific outcomes are not guaranteed.

 

Client Responsibilities

 

I agree to:

  • Fully disclose any medical conditions, medications, allergies, and supplements I am taking, including any changes to medications or dosages during the treatment period, as these may affect my treatment plan.

  • Inform the Practitioner of any vaccinations (including booster vaccinations) I have received in the past or at any time during the treatment period.

  • Inform the Practitioner if I am pregnant, breastfeeding, or planning pregnancy.

  • Notify my GP or healthcare provider about any treatments or supplements prescribed.

  • Inform the Practitioner if I follow a vegan or vegetarian diet, as some supplements or treatments may contain animal-derived ingredients.

 

Ongoing Informed Consent

 

I understand that:

  • This informed consent is an ongoing agreement, and additional consent may be required if there are significant changes to my treatment plan.

  • If treatment methods change, my ongoing verbal or written consent may be recorded in my consultation notes rather than requiring a new signature.

 

AI generated Notes and Assistive Tools

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I understand that:

  • The Practitioner may use artificial intelligence (AI) tools, such as Heidi from Heidi Health or within the patient management system (Healthbank) or similar, to assist in capturing and summarising consultation notes.

  • AI-generated notes are used as an internal support tool and do not replace professional judgment or clinical assessment.

  • If I prefer not to have AI tools used, I must notify the Practitioner before my consultation.

  • My personal information, including AI-generated notes, will be handled in accordance with applicable privacy laws in New Zealand and the Business’s Privacy Policy (tessascott.co.nz/privacy-policy).

 

Privacy & Data Handling

 

I understand and consent to the collection, use, and storage of my personal information for treatment purposes. My information will be handled in compliance with applicable privacy laws in New Zealand and the Business’s Privacy Policy (tessascott.co.nz/privacy-policy). I understand that:

  • My data is not shared with third parties except where required by law or with my explicit consent.

  • AI-generated notes are stored securely as part of my consultation record.

  • I may request access to my records and withdraw my consent at any time.

 

Acknowledgment & Consent

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I confirm that:

  • I have read and understood this agreement.

  • I have had the opportunity to ask questions about its contents.

  • I consent to treatment and understand I may withdraw my consent at any time by notifying the Practitioner.

 

By booking, enrolling in, or participating in services provided by Tessa Scott, the client acknowledges that they have read the above and understood these Terms of Service and provide informed consent to treatment and have had the opportunity to ask questions about its content. I intend this consent form to cover the entire course of treatment for my present condition, and for future condition(s) for which I seek treatment. I understand I can withdraw my consent and/or discontinue treatment at any time upon notice to the practitioner.

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