Client Health Questionnaire


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Copyright © 2015 • All Rights Reserved • Healthy By Nature Nutritional Counseling
Consent Form
A key aspect of any of my nutritional counseling or wellness programs is to obtain detailed information regarding a client's health history including a list of current medications or supplements and the wellness goals or health objectives of that client.

If you have enrolled in one of my programs, click on the links below to download the "Client Health Questionnaire" and the "Consent Form" and return these completed forms to me at your earliest convenience via email, US Mail, or in-person.  If you need my mailing address or have any other questions or concerns regarding these forms, please feel free to contact me!
Sue Hughes, M.S.Ed., HHP, CNC
AADP Certified
Tel:  215-833-6713
Email:  Sue@HealthybyNatureHWC.com
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