Client Forms

New Client Forms

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

These forms will be brought to your first appointment. Please be thorough and answer the questions completely as possible.

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

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

Health Objectives (PDF)
A questionaire on client’s health objectives and goals.
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 if you want to input data and send it to us via email.)

Daily Food Diary 7 Day.xls   (This is Excel 2003 format if you want to input data and send it to us via email.)

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

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