Patient Forms
The links below correspond to the various intake forms that patients will need to complete prior to their initial appointment. The office will indicate which specific forms you will need to complete. If you have questions about which forms pertain to you, or if you encounter any issues while completing the forms, please email us at FLNutritionGroup@gmail.com.
If you prefer to complete these forms manually, please email us at FLNutritionGroup@gmail.com and we will provide you with PDF/printable versions of each document. Manually completed forms can be returned in one of the following ways:
- Fax your signed and completed forms to (754) 778-5634
- Scan your signed and completed forms and email them to FLNutritionGroup@gmail.com
If none of the alternatives listed above is an option for you, call (561-591-3249) or email (FLNutritionGroup@gmail.com) the office for instructions.
If you are a Medicare patient, please call the office prior to making your appointment in order to determine whether or not nutrition counseling for your condition is covered by insurance. All Medicare patients will require a referral from their physician. Referrals can be faxed (754-778-5634) or emailed (FLNutritionGroup@gmail.com) directly from your physician’s office.