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
Complete Forms	Save Completed Forms​	Click HERE to email and attach completed forms

Intake Form

CLIENT INTAKE FORM - FILLABLE PDF ​

Consent Form

CLIENT CONSENT FORM

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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.