Hair Tissue Mineral Analysis (HTMA)
Wellness Assessment & Informed Consent Agreement

Provider: Sandy Boone Coaching & Consulting


This agreement applies to Hair Tissue Mineral Analysis (HTMA) services provided through Sandy Boone Coaching & Consulting. These services are educational wellness coaching services and are separate from psychotherapy services provided through Foothold Counseling.


Purpose of the HTMA
Hair Tissue Mineral Analysis (HTMA) is a wellness assessment that evaluates patterns of mineral balance and potential exposure to certain toxic elements using a sample of scalp hair. HTMA may provide information that supports discussions about nutrition, lifestyle, stress physiology, and overall wellness. HTMA is not intended to diagnose, treat, cure, or prevent any disease or medical condition.

Educational and Coaching Purposes Only
I understand that HTMA results are provided solely for educational and wellness coaching purposes. HTMA is not a medical test, is not intended to diagnose physical or mental health conditions, and any recommendations are educational in nature. I understand that I should consult my physician or other qualified healthcare provider before making changes to medications, supplements, or medical treatment.

No Therapeutic Relationship
Although Sandy Boone is a Licensed Professional Counselor, I understand that my participation in HTMA coaching does not establish a therapist-client relationship. HTMA services are provided exclusively through Sandy Boone Coaching & Consulting and are separate from psychotherapy services offered through Foothold Counseling. The protections, responsibilities, and limitations applicable to psychotherapy do not apply unless a separate counseling agreement has been executed.

Functional Wellness Perspective
I understand that HTMA interpretations may incorporate principles commonly used within functional, integrative, and nutritional wellness approaches. These perspectives are not universally accepted within conventional medicine and should not be interpreted as medical diagnoses or medical advice.

Client Responsibilities
I agree to provide accurate information, follow sample collection instructions, make my own healthcare decisions, consult my healthcare providers regarding medical concerns, and inform them before beginning supplements or significant dietary changes.

Recommendations
Recommendations may include education regarding nutrition, hydration, stress regulation, sleep, nervous system regulation, lifestyle habits, minerals, and optional nutritional supplements. I understand these are suggestions only and that I am solely responsible for deciding whether to implement them.

Supplement Disclaimer
If supplement recommendations are discussed, they are educational recommendations only and are not prescriptions. Individual responses vary. I understand I should consult my healthcare provider before beginning supplements, particularly if pregnant, nursing, taking prescription medications, or managing a medical condition.

No Guarantee of Results
I understand that individual outcomes vary and no guarantee has been made regarding symptom improvement, laboratory changes, health outcomes, or any specific results.

Separation of Services
I understand that HTMA services are provided as coaching and wellness services. Information discussed during HTMA coaching will not become part of a psychotherapy record unless separately authorized or required by law. Participation does not establish emergency mental health services or crisis support.

Confidentiality
Information shared during coaching will be treated as confidential to the extent permitted by law. Because this is a coaching relationship rather than psychotherapy, communications are not protected by therapist-client privilege.

Release of Liability
I voluntarily choose to participate in HTMA wellness coaching. To the fullest extent permitted by law, I release and hold harmless Sandy Boone Coaching & Consulting, its owner, employees, contractors, and affiliates from liability arising from decisions I make based upon educational information provided through the HTMA process, except where prohibited by law.

Acknowledgment
By purchasing this product, I acknowledge that I have read and understand this agreement, have had the opportunity to ask questions, understand that HTMA is a wellness assessment rather than a medical diagnostic tool, understand that this service is coaching rather than psychotherapy or healthcare, and voluntarily choose to participate.

Due to the nature of this product, no refunds will be provided.