Neighborhood Nutrition : New Clients


	New Clients Prior to your first meeting, please download and complete the following forms and bring them with you to your appointment. In order to view these forms, you will need Adobe Reader. Complete instructions for downloading and installing Adobe Reader are available from www.adobe.com New Client Agreement Form Patient Registration Form Food History Questionnare Food Record Sample Food Record Please fill out the food record for at least 3 days. Be as specific as possible with types and amounts of food in order for us to provide you with the most accurate assessment. Please see sample food record if you have questions on how to complete the form. Feel free to contact us with any questions you may have. For those of you participating in our Let's Dish! Weight Management Class, the daily and weekly food record may be downloaded for your convenience. Daily Food Record Weekly Food Record Neighborhood Nutrition ©2006 661.644.4242 info@eatrightgetstrong.com Site design: dfhdesign