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FORMS

If you are a new patient, please complete the following forms and email them to info@foundations-nutrition.com or bring them with you to your first appointment.

5 Required forms:

1. Client Intake

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Client Intake Form - PDF

2. Consent for Electronic Communication

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Consent for Electronic Communication - PDF

3. Notice of Privacy Practices

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Notice of Privacy Practices - PDF

4. Credit Card Payment Authorization

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Credit Card Payment Authorization - PDF

5. Authorization to Release PHI

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Authorization to Release PHI - PDF

© 2019 by Foundations Nutrition, LLC. 

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