First, please contact Silvia by using the 'CONTACT' tab at the top of this page, or by emailing her at: silvia@ silviagrisendi.com so that she can arrange a call with you to explore your needs. Silvia will then pencil in a date in which to start working with you. 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 the 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.

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 of 3 to 4 months. However, 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 the Empowered Programme, which is from 3 to 4 months. Outside of these, clients with specific questions that require in depth review of their history are encouraged to book a follow-up consultation. Silvia is always available for any general questions and to discuss next steps.

Cancellations: We understand that you sometimes 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 Programmes that have not started yet: we can offer you a refund (minus an administration fee of £75) if, after payment, you are unable to go ahead and start working with Silvia. For 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.

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