Renewed Health and Nutrition Services Inc.
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  • Services
    • Health & Nutrition Appointments & Assessment
    • Cancer Care Program & Assessment
    • Genetic Analysis
    • Metabolic Balance Program >
      • Testimonials
    • Healthy Start Programs
    • Corporate Wellness Programs
  • Forms
  • Products
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YOUR CART

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CLIENT INTAKE FORMS

Please fill out and submit both the client intake and consent form below prior to your appointment.

STEP 1
STEP 2
STEP 3
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Click HERE to email and attach completed forms 

Intake Form

CLIENT INTAKE FORM - FILLABLE PDF ​

Consent Form

CLIENT CONSENT FORM

7 Day Food Diary Chart

FOOD DIARY CHART
Program Policies:
Please provide 24-hour notice if you are going to be unable to make it to any of your scheduled appointments. Failure to do so will result in billing for that appointment. As a professional courtesy, there will be no charge for all appointments cancelled within 24 hours. All payments are non-refundable but may be transferred to other services available at Renewed Health and Nutrition Services INC.  All programs need to be paid in full as payment is due upon client, consultant agreement.  

​DISCLAIMER
 
​on presented on this website is not intended as medical advice and should not replace the advice of a licensed physician or other qualified health care professional.  No part of this website is intended for the diagnosis, treatment, or cure of any disease.  We ask that you make all personal medical decisions based on quality research and in partnership with a qualified medical professional.  The entire content of this website is based on the opinions of the owners, unless otherwise noted.
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