First, please contact Silvia by using the 'CONTACT' on the page menu, or by emailing her at: silvia@ silviagrisendi.com so that she can arrange a call with you to explore your needs. If you are happy to go ahead, Silvia will pencil in a date in which to start working with you. Next: payment (by card or bank transfer) is required upon agreement of a start date to secure your place and confirm your first appointment. For this, please use the 'SIGN UP' button on this page (or let Silvia know if you prefer to arrange a bank transfer). If you are a new client, after the purchase you will receive a detailed online Health Questionnaire, with an invitation to submit it at your earliest convenience, or at least 2 working days before the initial consultation. You will also receive a video call link (Zoom) to use on the day of the first consultation.

Generally yes. We find that what our clients receive from our sessions is more effective if they make a commitment to work within the recommended time frame: Empowered Programme: 4 to 5 months Focused Programme: 6 to 8 months Health & Wellbeing Coaching: 6 to 8 months We reserve the option to apply flexibility and adapt timelines based on each client's needs, depending on what's best to support them at any specific time.

Email support dealing specifically with the client's diet & lifestyle plan is offered as part of each Programme, within the recommended time frame: Empowered Programme: 4 to 5 months Focused Programme: 6 to 8 months Health & Wellbeing Coaching: 6 to 8 months. Outside of these, clients with specific questions that require in depth review of their history are encouraged to book for the next follow-up consultation. Silvia is always available for any general questions and to discuss next steps.

Cancellations: We understand that sometimes you need to cancel appointments. If you cancel up to 48 hours before your appointment you will be able to reschedule it at a later date, depending on availability. Appointments cancelled within 48 hours’ notice may be subject to a cancellation charge (£75) or will be forgone from your Programme. If there is an urgent situation and you need to cancel with less than 48 hours’ notice please contact us as soon as possible and re-scheduling will be agreed on an individual basis. Missed appointments: failing to attend a scheduled appointment without any warning will results in that specific appointment being forgone from your Programme.

You are welcome to discuss further steps with Silvia, so that she can support you in deciding what suits you best moving forward.

For Empowered and Focused Programmes that have not started yet: we can offer you a refund (minus an administration fee of £50) if, after payment, you are unable to go ahead and start working with Silvia. For Empowered and Focused Programmes that have already started: given the nature of the functional medicine approach - whereby a great deal of the ground work is carried out in advance of the initial consultation, and again in between appointments and after each appointment - please note that refunds for part-completed programmes are not available. For Health & Wellbeing Coaching that has not started yet: we can offer you a refund (minus an administration fee of £25) if, after payment, you are unable to go ahead and start working with Silvia. For Health & Wellbeing Coaching that has already started: if you are unable to continue and/or prefer to stop your sessions at any point during the recommended duration of the programme (six sessions to be had within 6 to 8 months), we can offer a refund for the remaining unused sessions (minus an administration fee of £25).

Please feel free to get in touch with Silvia : silvia@silviagrisendi.com