We are so excited you’ve made a decision to improve your health and quality of life through nutrition therapy and counseling. Our goal is to create helpful and effective strategies to nourish a healthier and happier life. This involves not only addressing what you eat, but also how you think and feel about food and your body. New Client forms are available through the Client Portal. You will receive login information when scheduling your Initial Consult.

Referrals

If you have been referred by a therapist, doctor, and/or other health provider, please use this Referral Form to have your provider complete. Fax this to: 919-234-5027


 New Patient Forms

This form is for patients who are working on developing a healthy relationship with food, body, and self

This form is for patients who are working on developing a healthy relationship with food, body, and self

Medical Nutrition- New Patient FormAll patients except disordered eating patients are required to fill out this form prior to their appointment.

Medical Nutrition- New Patient Form

All patients except disordered eating patients are required to fill out this form prior to their appointment.

New Patient Forms (everyone except disordered eating) includes registration, questionnaire, policies, and food log