Consent Form And Disclaimer

1. I hereby, authorize DOL CLINIC, to help me in my weight reduction efforts.
2. I know that the program has been designed based on the information I have provided.
3. I understand that my program may consist of a balanced calorie deficit diet, a regular activity program, instruction in behavior modification techniques.
4. This is a dietitian guided program.
5. Though the dietitian guides from time to time, I understand that much of the success of the program will depend on my efforts and that there is no guarantee or assurances that the program will be successful.
6. I also understand that obesity may be a chronic, life-long condition that may require changes in eating habits and permanent changes in behavior to be treated successfully.
7. I am aware that the amount paid for the particular package is strictly non-refundable and non-transferable under any circumstances.
8. I understand that I have to complete the advised number of sessions in the stipulated time period to get optimum results.
9. It is my responsibility to get all the advised investigations done and get seen by my own doctor and take his permission for this program which is based on natural diet. I will not eat anything new food material (that I haven’t used before).
10. I have taken advice from my physician about the appropriateness of the program. (Diet, U-lipolysis, Radiofrequency, Electric muscle stimulator).
11. I understand that I will continue the treatment of my other health issues from my concerned doctors.
12. I have read and fully understood this consent form and my questions have been fully answered.
13. I have been given all the time I need to read and understand this form.
14. I am aware that I need to follow a diet of 1500 Kcal, and achieve a weight loss of 0.5 – 1 Kg per week and the results are likely to be less satisfactory otherwise and also that the results may vary .
15. I have been explained that good results may take up to 6 months to appear and will be affected if diet instructions not followed.
16. I am undergoing the procedure on my own free will.
17. I have read the FAQ and the necessary information send to me on my mobile (http://dolclinic.com/disclaimer/) and I understand and consent to the program.

1. Before joining our program we advise you to take permission from your medical practitioner before taking any step.
2. Our diet plans are based on natural food. They usually should not interfere with individuals taking medications, but we still advise you to check with your doctor. Also, consult your doctor for any medication required.
3. Please inform us of any medical illness or disease that you may have.
4. Please inform us of any allergies to any food item in the beginning of the program.
5. The diet we advise is customized to the individual. It is useful only for a certain period of time and is meant for that individual only. It is not advisable for the same diet plan to be applied to someone else without counselling.
6. We strongly advice you to keep in touch your doctor or physician on regular basis during the direct program and afterwards as well.
7. We endeavour to achieve the goals and targets in each condition but, the results or the targets are not promised or guaranteed.
8. The result of the diet program depends a lot on the individual body, the physiology, the basic metabolic rate and the amount to which the program is followed. So, there are many variables which are not in our hands.
9. And the results will be affected by age, medical condition and genetics.
10. We do not claim reversal and cure in diabetes and PCOD. But, a good healthy diet can help to stabilise sugar levels and reduce weight and symptoms. Results vary as per individuals.
11. The total fee that is paid upfront is strictly non-refundable and non-transferable.
12. Though we try to maintain regular contact with the clients, we also request the clients to maintain the regularity of diet advice and communication.
13. Though DOL Clinic tries to accommodate clients at their convenient time but there is no guarantee that we can fulfil the expectation and convenience. The appointment time is subject to the slots that are available, the appropriate professionals and the machinery available and other foreseen circumstances.
14. Sessions and follow-ups can be rescheduled twice only. And it is clients responsibility to maintain contact throughout the program.
15. Though we try our best to accommodate for any unforeseen circumstances, we don’t promise any adjustments of the gaps or any irregularities.
16. Please try to understand the nature of our program and its limitations.
17. DOL Clinic should not be held responsible for any misunderstanding later on.
18. We may use the photos of your recipes to put on different digital media, social media and for marketing purposes.
19. DOL Clinic and Dr. Dabhade does not claim cure or complete reversal of diabetes. Though we have succeeded in stabilizing type 2 diabetes with natural methods.
20. Professional responsibility-
    All the medico-legal liability relating to the medical/professional services/ consultation/ treatment provided to the patients/ clients of the DOL CLINIC by the professionals (for example, Dietitian, Physiotherapist), is their sole and exclusive responsibility. DOL CLINIC shall not be responsible in any manner whatsoever for the same, more so for any negligence on their part or any criminal liability arising thereof in this regard, both during the engagement with DOL CLINIC or after expiry or termination of their engagement for any reason. Professionals including physiotherapist shall fully indemnify DOL CLINIC for their acts and omission in the course of providing services at or on behalf of the clinic. It is the sole responsibility of the professionals to maintain the necessary certification and registrations of the professional organisations in order to maintain themselves competent and skilled for their jobs. “
21. Also before getting enrolled with our program kindly acknowledge:

• Immuno-suppressive condition like HIV, cancer, immunosuppressants
• Heart procedures Angiography/angioplasty in last 3 months
• Surgical procedures last 6 months Age 60 or above
• Kidney and related issues
• Neurological /mental health issues/tumour
• People with fits seizures, epilepsy
• Problems of the liver, e.g. cirrhosis, hepatitis
• Women – pregnant, lactating 4 months, 6 weeks after delivery

In the context of the Covid pandemic, DOL CLINIC is taking necessary precautions including sanitation. The risk of serious infection mostly applies to people with multiple diseases. Kindly understand that despite all precautions, the risk of infection cant be fully avoided and it is not our responsibility. Hence, kindly accept it at your own risk.