Before your Initial Intake Appointment, please download, print, and fill out these two forms:

1. Intake Form
2. Disclaimer

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


Download, print and fill out the form by hand, then:

  • Scan and email the completed copy to
  • 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.
Thank you!

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.

Are you ready to schedule?

Click here to schedule an appointment online.
Choose either the “Free 20 Minute Phone Consult” or “Initial Intake Appointment.”