Client Forms

New Client Forms

New clients should print and complete the the following forms:
1) Disclaimer
2) Client Assessment
3) Health Objectives

These forms will be brought to your first appointment. Please be thorough and answer the questions completely as possible. (PDFs are to be printed and filled out).

Disclaimer / Client Agreement (PDF)
General Agreement Information about Jerry Casados and Plant-Based Nutrition and Lifestyle.
Disclaimer Form.pdf

Online Disclaimer Client Agreement

Client Assessment(PDF)
A detailed questionnaire asking about diet, past and present health status.
Client Assessment Form.pdf 

Online Client Assessment Form

Health Objectives (PDF)
A questionnaire on client’s health objectives and goals (optional).
Health Objectives.pdf

Diet Diary (PDF)
Form tracking your food intake.
Daily Food Diary 7 Day.pdf

Daily Food Diary 7 Day.xlsx (This is Excel 2010 format)

Please contact me or call 303-944-4172 if you have any questions or need any help.