Credit/Debit Card Authorization

IEM Terms & Conditions

Thank you for choosing the nutritionists at IEM to work with you in pursuing your goals. We know your time is valuable
and we hope you will respect our time and the time of other IEM clients as well. Although we understand things happen
unexpectedly, we need a minimum of 48 hours notice of a cancellation or need to reschedule so we can fill your previously
reserved time slot with another client from the waiting list. If your appointment falls on Monday, please be aware that we
must hear from you by 2 pm the Friday before to avoid a cancellation fee. That gives us time to contact people on the wait
list before the close of business on Friday.

As a courtesy reminder, you will receive an email 48 hours prior to your appointment and a text or phone call the day
before your appointment. The responsibility is ultimately yours to contact us to avoid a cancellation fee. Any appointment
cancelled or changed without a 48 hour notice will be billed to your credit card kept on file. By signing below you authorize
The Institute of Eating Management to charge your credit card account for missed sessions. Your file is confidential and
we do not give out any personal information without your written consent. We sincerely appreciate your understanding and
hope you will always be able to give IEM plenty of notice to avoid this charge.

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Name as it appears on your card. *

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I agree to the IEM Terms & Conditions

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