Before your Initial Intake Appointment, please download, print, and fill out these two forms:
Allow for 20-40 minutes. The intake form contains a 4-day diet journal so please plan accordingly.
It’s ideal if you can return the forms to us 2 days before your appointment so your nutritionist can review in advance and start formulating your plan. This helps to maximize your time together.
Options to return the intake forms:
Download, complete the fillable form, re-save and email the completed copy to support@BeBalancedHealing.com
Download, print and fill out the form by hand, then:
- Scan and email the completed copy to support@BeBalancedHealing.com
- Drop off at our office (350 Broadway, Suite 200, Boulder, CO 80305). You may leave it at the front desk on a Monday – Friday.
- Mail to 350 Broadway, Suite 200, Boulder CO 80305
If neither of those options is possible, please bring the completed forms to your appointment.
Nutrition therapy is not intended as a diagnosis, treatment, prescription, or cure for any disease, or as a substitute for medical care. Jen Marshall and Stacy St Germain are not licensed medical providers. Nutrition plans are not intended as a substitution for traditional medical care, nor should be interpreted as medical advice, but instead is an adjunctive and supportive therapy.