“Dr. LePine sells nutraceutical supplements to you at a 10% discount from retail cost. NOTE: In working with Dr. LePine, you are under no obligation to purchase these products; you may purchase products elsewhere, although we can not guarantee they will be equivalent in quality and efficacy, additionally the quality of care Dr. LePine gives you will not be affected by your decision to purchase or not to purchase products from Dr. LePine.  I understand that Dr. LePine makes no representations, claims or guarantees that my medical problems or conditions will be helped by undergoing treatment by him. I also understand that my failure to comply with any treatment recommendations may impede results.”