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Nutrition Counseling & Personal Training
Health  ✧   Healing  ✧  Wellness
Home Locations Contact Us
EMAIL:   info@EatWellBeFit.com     PHONE:  206.789.6440

Client Forms

Forms for Initial Nutrition Appointment:

Food Journal (Adobe PDF file)- Please fill-in, print and bring to Initial Appointment.  Record food intake for at least one work day and one non-work day.
FoodJournal.pdf

Policy & Disclosure form (Adobe PDF file)- Review, sign and bring to Initial Appointment
Policy & Disclosure.pdf

Payment & Release form (Adobe PDF file)- Review, sign and bring to Initial Appointment
Payment and release.pdf

HIPAA Notice of Privacy Practices (Adobe PDF file)- We care about your confidentiality and will protect your private information.  To read more click on the link below.
HIPAA.pdf - For your reading pleasure.
HIPAA-signform.pdf - Sign and bring this form to Initial Appointment

Don't forget to bring your medical insurance card.

Forms for First Personal Training Appointment:

Health Questionaire & Release form (Adobe PDF file)- Please fill out to the best of your ability, print and bring to our first personal training appointment.
history.release.pdf

Medical Release Form (Adobe PDF file) - Depending on your health history, this form may need to be completed by your doctor prior to starting personal training sessions.
MD.release.pdf