Dietary Supplement Disclosure Form

Form Template

The student would like to disclose the following substance for which he/she consume as a dietary supplement other than those prescribed by a medical doctor.

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The student understands that labeling on these products can be misleading and inaccurate, and that advice of sales personnel may be inaccurate. Terms such as “healthy” or “naturally occurring” do not necessarily imply safety nor does it imply that the University approves these substances.

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