Intake Forms

Download and Complete Forms

Please download, complete and return the following 3 forms to me at least 1 day in advance of your appointment, to

Please kindly complete all pages and email them back to me at least 1 day before your appointment.  Depending on how much information you provide, you may need up to 2 hours for this. The details give valuable indicators of nutritional status and potential requirements, as each individual’s routine, physical status and external environment interact with one another. This will be taken into account when creating your personalised nutrition and lifestyle plan.

How to Complete the Forms

The forms are fillable PDFs, and can be completed digitally on your laptop or mobile device using a free tool called Adobe Reader via your web browser or directly on your device. This should allow you to click on the boxes to type, tick boxes and numbers, and select dropdown options. If you need to download Adobe Reader here are the links:

GDPR Privacy Policy

You can download a copy of Nutrition Advice Clinic’s GDPR Privacy Policy for your information here: