Chrysalis Nutrition & Health Nutrition Consultation Forms
 |
Thank you for enlisting my help for your nutrition and health needs! On this page you will get started with preliminary required information so you can begin nutrition consultations. Please choose from one of the 2 options below: |
OPTION #1: If you purchased a Nutrition Starter Package of 4 sessions, the information you will need to provide me so that I can provide comprehensive care is listed below. Please print out and complete these 4 forms when you have time to devote to them, explaining your current situation and the goals you would like to achieve. Please be as thorough as possible. I know that I am asking a lot of you. The more you tell me, the better I can help you. This is not the time to rush through them to finish. For your best care, I need to have these forms returned to me before we can set up an appointment.
Client Food and Personal Observations
Please either scan and email the completed information to me at service@powerofprobiotics.com (email is not secured) or print them out and mail them to me at:
Chrysalis Nutrition and Health, LLC
2221 E. Arapahoe Road, #2083
Centennial, CO 80122
Please email me at service@powerofprobiotics.com to let me know the forms are on their way and contact me with any questions. Thank you!!!
OPTION #2: If you purchased the food pantry makeover or the grocery store guidance, there is only one form that needs to be completed and returned to me so we can set up an appointment. This form is listed below.
Client Agreement and Release
Please either scan and email the completed information to me at service@powerofprobiotics.com (email is not secured) or print them out and mail them to me at:
Chrysalis Nutrition and Health, LLC
2221 E. Arapahoe Road, #2083
Centennial, CO 80122
Please email me at service@powerofprobiotics.com to let me know the forms are on their way and contact me with any questions. Thank you!!!
I research studies and share my clinical experience to write this free site to help you find solutions to your problems. As part of that, I recommend products and services that I genuinely believe will be of help to you. If you click on a link to a product/service, I may receive a small commission to support my efforts if you buy something. The item does not cost you more.
Thanks for visiting this site! If you've enjoyed reading this page or have found the information to be useful to you, please "like", tweet about it, or share it so others can benefit, too. You can leave comments below via Facebook or Disqus.
Comment with Disqus (including as a guest), Twitter or Google accounts:
If you are one of my many readers without a Facebook account, you can still comment.
Disclaimer: Please note: By law, I cannot provide any personalized recommendations for your specific health concern on this site. The information contained in this site is educational in nature and is not intended as diagnosis, treatment, prescription or cure for any physical or mental disease, nor is it intended as a substitute for regular medical care. Consult with your doctor regarding any health or medical concerns you may have.
Subscribe to my monthly newsletter and receive a free copy of "How to Use Probiotics to Lose Weight and Be Healthier".
To comply with the EU's GDPR data privacy regulation, please subscribe here:
Some competitors of SBI (Solo Build It) are posting fake negative reviews of SBI. If you are considering creating your own website business, or if you have a brick-and-mortar business but want an online presence, I highly recommend SBI!
Comment with Facebook!
I'd love to hear your opinion about what you just read. Leave me a comment in the box below! Other commenting options follow the Facebook comments.