Informed Consent

I, the undersigned client, hereby acknowledge and provide my informed consent to participate in the functional and integrative medicine program offered by Reneu Wellness Club.

I understand that functional and integrative medicine is a patient-centered approach focused on addressing the root causes of health issues, which may involve a blend of conventional and alternative therapies, advanced diagnostic testing, dietary changes, lifestyle modifications, and nutritional or herbal supplements.

I acknowledge that I am a willing and voluntary participant in this program and that I have the right to refuse or withdraw from any part of the treatment plan at any time.

I understand that no guarantees have been made to me regarding the results of any treatment or therapy. I acknowledge that the outcomes of my care are influenced by many factors, including my adherence to the recommended plan, my unique biological responses, and other health conditions.

Consent for Medications, Compounded Substances, and Off-Label Use

I understand that the Reneu Wellness Club practitioners may recommend or prescribe certain medications, including vitamins, minerals, herbal products, and other nutraceuticals.

I acknowledge and consent to the use of off-label medications. I understand that "off-label" means that a drug has been approved by the U.S. Food and Drug Administration (FDA) for a specific purpose but is being prescribed by my practitioner for a different condition or in a different manner based on their professional medical judgment and current scientific literature.

I also understand and consent to the use of compounded medications, including peptides, which are prepared by a licensed pharmacy specifically for me. I acknowledge that compounded medications and certain peptides are not subject to the same FDA approval process as mass-produced drugs. This means they have not been evaluated by the FDA for safety, efficacy, or purity. I understand that any risks, including allergic reactions or other side effects, are possible.

I accept full responsibility for any potential side effects or adverse reactions from the recommended supplements, compounded medications, or off-label prescriptions. I agree to notify my practitioner immediately if I experience any new or unusual symptoms.

Client Responsibilities and Acknowledgment

I agree to provide a complete and accurate medical history and to inform my practitioner of any changes in my health status, medications, or supplements.

I have had the opportunity to ask questions, and all of my questions have been answered to my satisfaction.

My signature below confirms that I have read and fully understand this consent form.