3. Informed Consent for Functional Wellness Education Root Cause Nurse – RN-Led Functional Lab & Lifestyle Review Educational Purpose The services provided by Root Cause Nurse include the review of functional lab results and the delivery of personalized wellness education. These services are rooted in evidence-based functional medicine models and focus on lifestyle improvement—not disease diagnosis or treatment. What to Expect Review and interpretation of self-ordered functional labs (e.g., GI-MAP, OAT, Adrenal Panels) Education on how lifestyle, nutrition, stress, and sleep influence health markers Supplement recommendations for wellness support (through Fullscript) Personal accountability planning, follow-ups, and lifestyle coaching Not a Medical Service You acknowledge and understand that: The Root Cause Nurse is not acting as a physician or diagnosing any conditions All recommendations are made within the RN wellness education scope You are encouraged to discuss all findings and supplement options with your healthcare provider before starting any new regimen Your Role You are responsible for ordering your own labs You agree to participate actively in your wellness journey You understand that these services are complementary to—not a replacement for—conventional medical care Consent to Functional Wellness Education By signing below, I acknowledge that I understand the nature and purpose of functional wellness education provided by a Registered Nurse. I understand that all information shared is for educational and self-directed wellness purposes. 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. *