HOLISTIC NUTRITION AND AYURVEDIC HEALTH
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Welcome and thank you for choosing Live Well Nutrition and Ayurveda!
I look forward to working with you in achieving your Health Goals.
Please fill out the following applicable forms before we start your first session.
All forms are savable, you may return at any time to complete them.
The intake forms on this web site will solely be used to develop a customized care plan for you.
Recommendations are offered and applied as an educational and informative consultation. Please keep in mind that any action taken as a result of the consultation is done at the sole discretion of the client.
Ayurvedic Intake Form
This intake form helps me gain insight into your unique body-mind makeup from an Ayurvedic lens. We will uncover which primary energies or doshas are most present in your body and mind and where we need to work on balancing.
Health Intake Form
The general health intake form will give me an overview of your current health concerns and help to identify what you would like to accomplish regarding your health as well as uncover some key areas for improvement. Your personal information remains safe and secure.
Pediatric Intake Form
The Pediatric Intake Form should be completed by the child’s guardian. This form will give me an overview of your child’s current health status and help to identify areas of improvement regarding their health. Your child’s information remains safe and secure
Questions? Send me a Message