Please be sure you follow these steps to insure that your Health History Form gets completed and submitted properly.

  1. Keep your 7-day food log separate and enter it into this form all at once. If you close out of your browser, any information you enter will be lost.
  2. After you hit “send”, you should see a green confirmation message. You should also get a confirmation email. If you don’t – please contact [email protected] prior to your consultation.

Please complete and return this form no later than 24 hours prior to your consult. We would prefer this form completed ONE WEEK prior to your consult in order to properly review your health history.

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