Forms for Initial Nutrition Appointment:

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

FoodJournal.pdf

Telehealth Consent form (Adobe PDF file)- For all telehealth (virtual/Zoom/phone) appointments, please review, sign and submit prior to Initial Appointment. 

TelehealthConsent.pdf

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

Present your medical insurance card at the Initial Appointment or plan to pay out-of-pocket for your appointments.

Forms for First Personal Training Appointment:

Health Questionnaire & Release form - Please fill out to the best of your ability, print and email/fax prior to our first personal training appointment.

history.release.pdf

Medical Release Form - Depending on your health history, this form may need to be completed by your doctor prior to starting personal training sessions.

MD.Release.pdf