GHN Client Intake Form
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Download and save the "GHN Client Intake Form" provided on this page.
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Save the form as a PDF file.
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Fill out the form and email your completed GHN Client Intake Form to: GHNgooden@gmail.com
3-Day Food Diary
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Download and save the "3-Day Food Diary" provided on this page.
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Save the form as a PDF file.
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Fill out the form and email your completed 3-Day Food Diary to: GHNgooden@gmail.com
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Also, email any medical information such as blood test results, that you think may be helpful.
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Thank you for taking the time to thoughtfully answer the questions and complete the 3-Day Diary. You’ll have ample opportunity to address any concerns that require a more detailed discussion during your appointment.
Notes:
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Acrobat Reader is required to view/edit the GHN forms. If you don’t have Acrobat Reader, you can download it here.
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For iPhones and iPads use the PDF Expert App from the Apple App Store.
GHN Client Intake Form
3-Day Food Diary Form