I agree to pay the $375 fee for the food test, test fee also includes a follow up visit with Dr. Tuchinsky. I understand that this is not covered or reimbursed by insurance and is non-refundable, and no assurance or guarantee whatsoever to cure any condition or illness. The clinic and all of its employees assume no responsibility for medical conditions requiring the attention of a medical doctor, or necessary adjustments to prescribed medications during or after the completion of testing and dietary alterations. I understand the unpredictable nature of sensitivities / intolerances and related symptoms and that the clinic cannot guarantee any results in the reduction of symptoms. The clinic cannot guarantee that new reactions will not develop in the future. I understand that the clinic does not treat cases of anaphylaxis and I agree to fully disclose all information regarding any life-threatening allergies or allergies resulting in anaphylaxis.