Please print and complete these before your first nutrition coaching appointment.

Client Information and Referral Form: Please complete prior to your visit. If you are seeing an RD due to a physician’s referral, please request your physician complete the bottom portion of this form.

Eating Attitudes Test (reproduced with permission): Please complete and bring to your first appointment

Food Journal: Print out 3 copies and write down foods, drinks, snacks, supplements, etc. for 3 days

Financial Policies Please review these prior to your appointment

Privacy_Notice_January_2014: This explains privacy practices and HIPAA policies