Welcome! We are so excited you’ve made a decision to improve your health and quality of life through nutrition therapy. Our goal is to create helpful and effective strategies to nourish a healthier and happier life. This involves not only addressing what you eat, but also how you think and feel about food and your body. Please take a moment to complete the required forms below so we can better understand your needs, preferences, and goals in order to offer realistic and personalized solutions for your health concerns!

If you become overwhelmed, have trouble or don’t feel comfortable answering any of the questions, leave it blank!  If there is additional info you’d like to include, please feel free to do so. If possible, please fax or email forms to the office before our first session. Thank you!

EMAIL  haley@inspirdnutrition.com
FAX  412.372.1500



Policies aNd

Consent for Treatment
and Authorization