NEW CLIENT FORMS

After scheduling your first appointment, you will receive an email from Client Centered Nutrition with online intake paperwork through a HIPAA secure platform.

Please complete this online paperwork before the first session.

Two forms (below) must be signed on paper, not electronically.

Please print, complete, and bring the following forms to your first appointment.

Individuals under 18 years old must have a parent/guardian complete all forms.

Client Centered Nutrition, PLLC

1700 Westlake Ave N, Suite 400, Seattle, WA 98109

P: (206) 309-9232 | F: (206) 309-9233

Email: Amanda@ClientCenteredNutrition.com

©2020 by Client Centered Nutrition, PLLC