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 email/fax prior to, or bring to Initial Appointment.  Record food intake for at least one work day and one non-work day.

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

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.

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