Roseanne Nenninger :: Intake Form

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A credit card is required for making and confirming appointments. No charges will be made to your account.

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Comprehensive Initial: $295, Follow-up: $145

Letter option
I often receive letters from patients about the treatments they have received. I like to share these to inspire others to believe in healing. May I share you letter?
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Additional information about my services
1.	I have a nutrition / dietician certification in New York. In Connecticut I have a naturopathic physician's license.
2.	Naturopathic or Nutrition Services do not replace the role of a conventional physician.
3.	I am not a medical doctor (M.D.) and I do not write or change prescriptions. I will try and recommend you to the appropriate "natural friendly" conventional M.D. to help you with these issues.
4.	You are responsible for ruling out prescription drug interactions with your M.D. or pharmacist.
5.	If you are pregnant or nursing, confirm the safety of any supplements with your obstetrician or pediatrician.
6.	Using nutritional therapies while being or getting pregnant does not guarantee a perfect baby or labor.
7.	I do not make any guarantees or promises with regard to results, other than trying my best.
8.	I do not provide or complete any insurance forms or any other forms requiring a doctor's signature in NYS.
9.	I am using my education and experience to give you suggestions; you are using your intelligence to make the decisions that are right for you.
10.	We may discuss substances that have not been subject to double blind clinical studies or FDA approval or regulation. You assume the responsibility for the decision to take any natural remedy.
12.	Phone calls are billed as consultations. E-mail is preferred for general questions and updates.
13.	If you feel you are having any adverse reaction then stop all supplements immediately.
14.	Naturopathic doctors are not yet licensed in New York State. Therefore, in New York State, I will not provide, and you will not receive, any of the activities restricted by the definition of medical practice. The practice of the profession of medicine is defined as diagnosing, treating, operating or prescribing for any human disease, pain, injury, deformity or physical condition. Your signature here verifies that you will not receive any diagnosis or prescription.
15.	Kindly contact me again if I do not return your email within 24 hours.

I have read and understand the points listed above.

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