NEW CLIENT FORMS
As soon as we have scheduled your New Client Intake meeting date and time, you’ll receive an email with comprehensive instructions including the link to the questionnaire Please plan to spend 15-20 minutes answering the Intake questions. You can save answers and go back and edit as needed. Or, use this PDF New Client Intake form, scan or photograph the pages and email to info@deliciousnutritioushealth.com. In either case, please complete and/or send your answers ahead of time so that we can maximize the value of our time together. Kindly complete the Intake questionnaire three full business days (72 hours) Monday-Friday in advance of our meeting so I can review and start formulating your plan. For example, if we are meeting on a Tuesday, complete the questionnaire by Thursday. My goal is to assemble or send any necessary handouts, questionnaires or links you may need in advance of our interactive discussion! If you have not been feeling well for a long time, creating a timeline of when major symptoms began or when you were injured, hospitalized other otherwise treated would be very helpful!
Food Journal: Please record what and when you eat and drink for at least 3 days. Ideally, record two days of regular weekday eating and one day of weekend eating. If you are tracking your food online or keep a journal in another format, that’s fine too, just send something that I can print and keep. Honesty is super important here! I need to see where you are coming from and what flavors and textures you like so we can make your next steps do-able. The timing and size of your meals is often as important as what they contain. More information is better!
Records Release Authorization: As needed, you can download this form to give to your doctor to permit them to share health records with me. Your doctor’s office will typically either send records by fax to my number listed on the form or authorize me to log into a secure practitioner sharing portal and view results. All records are kept strictly confidential.