Disclosure and Consent Form

DISCLOSURE AND CLIENT CONSENT FORM for Biobi Health Group Inc.

Effective Date: October 29, 2025

This Disclosure and Consent Form (collectively, “Consent”) is entered into between you and Biobi Health Group Inc. (“Biobi”) and govern your access to and use of Biobi’s Program(s), including but not limited to Biobi’s website, including subdomains (“Website”), the Biobi platform that provides you with access to Online Course Videos, exclusive Slack channels, videoconferences and consultations (“Platform”) and any other services, platforms or products to which Biobi applies this Consent (collectively, “Service”).

BY SIGNING THIS CONSENT OR BY USING THE SERVICE YOU ARE AGREEING TO BE BOUND BY THIS CONSENT.

Provider: Dr. Jeff Obayashi, affiliated licensed health professionals (e.g., dietitian, licensed school psychologist, physiotherapist) and office staff (e.g., office manager and medical office assistants).

Location: Biobi Health, 1 - 1400 George Street, White Rock, BC, V4B 4A3

1. Program Overview

The Biobi Health Energy and Weight Optimization and/or Full Metabolic Optimization (“Program”) is designed to provide MSP and private testing, educational and supportive services designed to complement your existing primary care provider and other medical specialists. This Program is not a substitute for traditional medical care. This Program is designed to provide you with personalized lifestyle and supplement recommendations based on your clinical data and test results. Our multidisciplinary team is focused on improving your cardiovascular risk, body composition and vitality.

2. Scope of Tests and Services

This Program includes, but is not limited to:

initial and ongoing consultations with the Provider;
you will receive copies of all MSP and private laboratory tests;
physician review of MSP and private laboratory tests;
development of a personalized health plan;
educational resources and Program-specific support on the Website and Platform.

3. Client Responsibility

By participating in this Program, you agree to:

inform us of your medical conditions, family history, medications, supplements and allergies;

multidisciplinary meetings about your de-identified health data (known only by your Physician Provider) to improve your personalized health plan;

continue to see your primary care provider because this Program does not provide diagnostic medical services and Biobi strongly recommends that you maintain a separate relationship for general medical needs and chronic or complex medical conditions; and

seek emergency medical services and/or call 911 if you have any acute medical conditions. Biobi is not an emergency medical service.

4. Genetic Testing and Limitations

Biobi has informed you with verbal and written consent prior to genetic testing that genetic testing results may have unexpected biological and psychological implications to you, your family members and the potential for insurance discrimination. Genetic testing has the possibility of receiving difficult to interpret results, misinterpreted results, or inaccurate results. The accuracy of the genetic test results is between 99.7 – 100%.

In Canada, the Genetic Non-Discrimination Act (GNA) was passed on May 4, 2017 to protect individuals from insurance companies and employers from using, requesting, or requiring genetic test results. Under GNA, employers cannot use a person’s genetic test results to make decisions about hiring, firing, job assignments, or promotions. GNA does not prohibit life insurance policies from using this information.

We do not test for disease-causing genetic mutations and we do not sequence your genes. We test for single nucleotide polymorphisms (SNPs) in your genes that correlate with nutrition, physical activity, body composition, inflammation, hormones, methylation, and medications.

5. AI-Assisted Bioinformatics

The Program may use artificial intelligence (AI) tools to assist in analyzing de-identified data (genetics, lab results and clinical findings). You hereby acknowledge that AI outputs are limited and reviewed manually by Dr. Obayashi.

6. Withdrawal and Refund Policy

I understand I may withdraw my consent at any time. If you withdraw from the Program before completion, Biobi shall provide refunds on a pro-rated basis depending on the number of consultations or Program components already completed.

7. Confidentiality and Privacy

Your personal and health information is protected under BC’s Personal Information Protection Act (PIPA) and provincial health privacy legislation.

You hereby consent to:

the collection, use and storage of your personal and health information for the Program;

secure sharing of your personal and health information with your healthcare providers to ensure coordinated care; and
email or electronic communication with acknowledgement of minimal privacy risks.

8. Consents and Acknowledgements

By signing this Consent, you hereby confirm and consent to the following:

I read this consent form in full and understand the Program’s nature and limitations and I acknowledge that I am voluntarily participating in the Biobi Health Program.

I had the opportunity to ask questions about this Program and all questions were answered to my satisfaction.

I hereby understand the Program is not for diagnosis or replacement of my primary care provider medical specialists or emergency medicine care.

I understand that I may withdraw at any time subject to the refund policy.

I consent to the use of private laboratory testing as required by the Program, receive telehealth or remote consultations, AI-assisted bioinformatics and to the collection, use and disclosure of my personal health information as described in this form.

I consent to the sharing of my relevant health information with other professionals involved in my care. I acknowledge that implied consent may be used for routine care coordination.

I hereby understand I can choose to refuse genetic testing and still participate in the Program.

I acknowledge that supplements and some services are not covered under MSP or my insurance plan.

I acknowledge that specific outcomes and results cannot be guaranteed and depend on my active participation.

Signature:

Client Name:

Date: