Pre-consultation forms are designed to save you time in your initial consultation as well as allowing for a comprehensive review to be conducted prior to your first visit.
Please complete all of the below forms including your Personal Profile, Online Health Appraisal Questionnaire and 3-Day Food Diary, 48 hours prior to your first consultation.
Your personal profile is where your record the following details:
- Personal details
- Reason for visit
- Body measurements
- Medical Conditions, Medications and Supplements
- Family History
- Consent to T's & C's
Health Appraisal Questionnaire
- This questionnaire is a valuable tool for your practitioner to gain information about your current symptoms and health concerns
- All of your information provided remains confidential
- Speak to your practitioner if you are unsure about any of the questions
3-DAY FOOD DIARY
The purpose of completing a food diary is to provide a snap shot of your typical food intake across the week. As our food intake can vary depending on our social activities I ask that you complete 3 entries for your food diary - two separate entries for 2 "week days (Monday to Friday)" and 1 entry for the "weekend" (Saturday OR Sunday).
After I receive your food diary, the data is entered into Food Zone and initial analysis is carried out. You will receive your dietary report post your initial consultation .
Please email your completed 3-Day Food Diary 48 hours prior to your initial consult.
Terms & conditions
Terms and Conditions are available for you to download.
Please return your signed copy via email together with your completed food diary.