Nutrition History Form

Fill this form

Patient Questionnaire and
Medical History Form

Fill this form

During the initial visit, we will discuss your medical and health history, eating habits and food preferences, family and lifestyle factors, current challenges, and your nutrition goals. The main purpose of this session is to learn more about you and determine together what will work best to help you achieve your goals.

Follow Up visits are scheduled based on your individual needs and will be discussed during the initial session.

Schedule Your Appointment Now

Dear Melanie, I decided to weigh myself today, and it turns out I lost about three pounds since mid April! I’m now at the lowest I’ve been in the last three years. I was shocked and didn’t believe the scale so I weighed myself on another scale and it was the same. I just wanted to say thank you for all of your nutritional guidance. It’s the first time in my life that I’m losing weight in a healthy, consistent way that doesn’t leave me feeling hungry. Also, I feel in control of my eating the majority of the time and so I’m not reaching for food to emotionally self-soothe on a daily basis. So thank you very much for all your help and support. I really appreciate it.
Lauren P.