Nutritional Consult Forms

“New clients, please fill out and return all requested paperwork in its entirety within 2 business days of your appointment.”

“Additionally, the following forms must be filled out over a period of several days and should be begun promptly: The Daily Record of Food Intake (7 days) and the Thyroid Temperature Form (5 days). Please allow enough time to complete all forms as we will need this time to process your paperwork. Incomplete paperwork may result in a 30-45minute wait or the need to reschedule your appointment. Once completed, either drop forms off at our office or email them to BowtechHealthCenter@gmail.com.

Nutritional Evaluation Form
Enzyme Questionnaire
Stress Assess Questionnaire
Daily Record of Food Intake

If you experience any of the following: fatigue, inability to lose weight, loss of hair, cold extremities, or mood issues, please complete the Thyroid Temperature Form and follow the Basal Temperature instructions below. Please turn these in along with your new client forms at least one business day prior to your first appointment.

Thryroid Temperature Form
 

Fragrance Free Facility

The Bowtech Health Center is a fragrance free (perfumes/colognes, scented lotions, etc.) environment. Many of our clients are very sensitive to fragrances that invoke headaches, nausea, etc.

Thank you!

Cancellation Policy
Effective: November 1, 2015

Appointments must be cancelled at least 24 hours in advance. If an appointment is cancelled with less than 24 hours notice, there will be no charge the first time. After that, the normal fee for the service scheduled will be charged. If an appointment is forgotten (a patient does not come or call) there will be no charge the first time. After that, the normal fee for the service scheduled will be charged.”