Healthcare & Wellness

Nutrition and Diet Coaching Agreement

Coaching agreement for nutrition and dietary guidance covering health disclosure, scope of services, and payment terms. Two signers (nutritionist and client).

📄 2 signers📅 30-day expiry🏷 Healthcare & Wellness🔖 two-signers, agreement, disclosure, healthcare

About this template

The Nutrition and Diet Coaching Agreement is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 2 signers (nutritionist and client) and, by default, expires 30 days after it is sent if left unsigned. It covers two signers, agreement, disclosure, healthcare. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Nutrition and Diet Coaching Agreement **Effective Date:** ___________ This Nutrition and Diet Coaching Agreement ("Agreement") is entered into by and between: **Nutritionist/Coach:** ___________ ("Nutritionist") **Credentials/Certifications:** ___________ **Client:** ___________ ("Client") ## 1. Services The Nutritionist agrees to provide the following services: **Service Type:** ___________ **Session Format:** ___________ **Session Duration:** ___________ **Session Frequency:** ___________ **Program Duration:** ___________ ## 2. Health Disclosure The Client represents that they have disclosed all relevant health information: **Current Health Goals:** ___________ **Known Medical Conditions:** ___________ **Food Allergies or Intolerances:** ___________ **Current Medications or Supplements:** ___________ **Dietary Restrictions:** ___________

Fields (28)

effective date
date · required
nutritionist name
text · required
credentials
text · required
client name
text · required
service type
select · required
session format
select · required
session duration
select · required
session frequency
select · required
program duration
select · required
health goals
textarea · required
medical conditions
textarea
food allergies
textarea
medications
textarea
dietary restrictions
select · required
eating disorder history
select · required
program fee
text · required
fee structure
select · required
payment method
select · required
payment timing
select · required
cancellation notice
select · required
cancellation fee
select · required
termination notice
select · required
early termination fee
text · required
governing state
select · required
venue county
text · required
governing state
select · required
nutritionist signer name
text · required
client signer name
text · required

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Send this template with cryptographic proof

Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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