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Note: A client may be advised to seek medical advice prior to initiating and/or during weight loss, based on his or her health profile.
Contact Information
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Allergy Information
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If your answer is “NO” to the above question, you will not be accepted to participate in our protocol.
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(If you have health problems not indicated on this health profile, please consult your physician before beginning this program)
Online Disclaimer
Please check that you have read, understand, and agree with each of the following statements
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The signatory client hereby recognizes the veracity of the information provided herein and that he/she has made an informed decision to go on the Sustain Weight Loss Solution.
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Submission of this form constitutes all information provided is accurate and valid.