NEW CLIENT FORMS
Links to handy forms are in green below!
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. You may also use this printable PDF New Client Intake form and scan or photograph the pages, then email to info@deliciousnutritioushealth.com. Complete the questionnaire five full business days (one calendar week) in advance of our meeting so I can start creating your plan. The questionnaire asks for a detailed list of any supplements or medications you are taking.
If you would like to create a timeline of major health events such as symptom onset or resolution, illnesses, medical exams, surgeries and/or treatments, this can be very helpful! Past lab results and health records are very helpful so that we can see what has been explored, detected or diagnosed.
Food Journal: Please record what and when you eat and drink for at least 3 days. Ideally, record two days of regular weekday foods and beverages plus weekend or holiday. If you are tracking your food online or keep a journal in another format, that’s fine too, just send something that I can keep. Honesty is super important here! I need to see where you are coming from and what 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.