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DOCUMENTS/FORMS

Health History Forms

How do I sign up for Health Coaching?

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The first step to health coaching is to fill out a health history form and email it back to me! Once I receive your health history health form I will contact you for your free coaching session  

Health History Form- Woman 

Download

Health History Form-Men

Download

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Thanks for submitting!

Disclaimer:
My role as a Health Coach is not to prescribe or assess micro- and macronutrient levels; provide health care, medical or nutrition therapy services; or to diagnose, treat or cure any disease, condition, or other physical or mental ailment of the human body. Rather, my job as a Coach is to be a mentor and guide who has been trained in holistic health coaching to help clients reach their own health goals by helping clients devise and implement positive, sustainable lifestyle changes. As a health coach, I am not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist, or other licensed or registered professional, and any advice given by me is not meant to take the place of advice by these professionals. If you are under the care of a health care professional or currently use prescription medications, you should discuss any dietary changes or potential dietary supplement use with your doctor, and should not discontinue any prescription medications without first consulting your doctor.

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