Nutritional Intake Form Please complete this basic demographic form as completely as possible.
Food Journal A three day food diary will tell me what you eat and give some insight into how food affects your energy levels.
Disclaimer and Consent As an unlicensed health counselor, it is important to understand that I do not diagnose or treat disease. My approach is to support the foundations of the body so that it can function optimally. Please read, sign, and return.
I may request that you complete other tests.
Please find more information about testing HERE.