For All New Clients wishing to utilize insurance coverage for your visits.  To submit to insurance on your behalf, we will need your diagnosis codes from your doctor.  This is still necessary even if your insurance indicates that you do not need a referral for nutrition care.

For All New Clients

Please complete the Client Demographics

Form and bring to your first session. 

For All New Clients wishing to work on Eating Disorder Recovery, Disordered Eating Recovery, or Intuitive Eating




Each Insurance Policies vary greatly in their coverage for nutrition care. If you would like us to submit to insurance for coverage for your visits, we recommend utilizing this form to guide a phone call to learn more about your coverage. 

For All New Clients

Please complete the Client Agreement and bring to your first session.