Welcome To Nutrinic LIPPD!

We're thrilled to welcome you as a participant in our program to prevent diabetes. To finish your enrollment, please complete all four steps below. For your convenience, all of the forms can be completed and signed online.


1.

 

HIPAA Privacy Practices

Please review our HIPAA privacy practices and agree that we have provided them to you.

 

2.

 

Informed Consent

Understand the possible risks and benefits of participating in Nutrinic LIPPD.


3.

 

Program Registration Form

This form collects your basic personal and medical information, allowing us to create a client record for you.

 

4.

 

Program Intake Questionnaire

Help us to better understand your current eating habits and lifestyle. This information is vital in helping program facilitators provide a relevant and personalized program experience.