1. General Consent for Services

Root Cause Nurse – RN Wellness Support

Purpose

You are engaging in wellness-focused, nurse-led educational services provided by Root Cause Nurse, a Florida-based Registered Nurse (RN). These services are intended to support your understanding of lab findings, lifestyle practices, and supplement options within the scope of RN wellness education.

Nature of Services

Root Cause Nurse offers:

Functional lab education and interpretation (non-diagnostic)

Lifestyle and self-care education

Supplement guidance and wellness support via Fullscript

Supportive follow-up through virtual platforms

This is not a medical service. You are not being diagnosed, treated, or prescribed medication. You are encouraged to consult with your licensed healthcare provider before beginning any new regimen.

Scope of RN Wellness Education

This nurse operates independently within the RN scope of practice in the state of Florida. All services are intended for health promotion, lifestyle education, and nutritional support based on client-directed lab testing.

Acknowledgment

I understand that:

These services do not replace care from a physician or specialist.

No diagnoses or prescriptions will be issued.

My participation is voluntary and I can discontinue services at any time.

I am encouraged to review all recommendations with my primary care provider.

Consent to Participate

By signing below, I confirm I have read and understand the above, and I voluntarily consent to receive RN-led wellness education services through Root Cause Nurse.

This field is mandatory

This field is mandatory

1. General Consent for Services Root Cause Nurse – RN Wellness Support Purpose You are engaging in wellness-focused, nurse-led educational services provided by Root Cause Nurse, a Florida-based Registered Nurse (RN). These services are intended to support your understanding of lab findings, lifestyle practices, and supplement options within the scope of RN wellness education. Nature of Services Root Cause Nurse offers: Functional lab education and interpretation (non-diagnostic) Lifestyle and self-care education Supplement guidance and wellness support via Fullscript Supportive follow-up through virtual platforms This is not a medical service. You are not being diagnosed, treated, or prescribed medication. You are encouraged to consult with your licensed healthcare provider before beginning any new regimen. Scope of RN Wellness Education This nurse operates independently within the RN scope of practice in the state of Florida. All services are intended for health promotion, lifestyle education, and nutritional support based on client-directed lab testing. Acknowledgment I understand that: These services do not replace care from a physician or specialist. No diagnoses or prescriptions will be issued. My participation is voluntary and I can discontinue services at any time. I am encouraged to review all recommendations with my primary care provider. Consent to Participate By signing below, I confirm I have read and understand the above, and I voluntarily consent to receive RN-led wellness education services through Root Cause Nurse. Digital Signature Clause: By digitally signing this form, you agree that your electronic signature is the legal equivalent of your manual signature on a paper document.*

This field is mandatory

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