Client Forms

Welcome! We are honored to work with you on your wellness journey.

Please feel free to contact us with any questions.

Initial Consultation Forms

Before our Initial Consultation, please complete the Client Information and Consent Form, and the Medical Evaluation Questionnaire Below. These will help us get started and inform our work together.

Clients may download and complete the Medical History Questionnaire, and return it to laura@livingnutritionwellness.com. Thank you!

Nutrition Client Info. & Consent, Online

General Client Info. & Consent, Online

FBWR Client Info. & Consent, Online

Medical History Questionnaire, Download

Three-Day Diet Record: Food, Liquid, & Activity Form

Learning about and building upon your dietary nutrient strengths can be a powerful tool in transforming your health. Clients may fill this form out online or download, fill, and return it to laura@livingnutritionwellness.com.

Food, Liquid & Activity, Online

Food, Liquid & Activity, Download