New Patient Forms

We're thrilled to welcome you as a new client. Prior to your scheduled appointment, please complete the online forms below. The more information you can provide ahead of time, the more productive your consultations with our dietitians will be.


1.

 

HIPAA Privacy Practices

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

 

2.

 

Registration Form

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


3.

 

Intake Questionnaire

Help us to better understand your current eating habits and lifestyle. This information is extremely valuable for the counseling process.

 

4.

 

3-Day Diet Record

A diet record allows our dietitians to analyze a snapshot of your eating habits. This information is critical in providing you with personalized strategies.