Shekinah Wellness

Client forms

Please download and fill out necessary forms prior to your appointment. Feel free to email them to me ahead of time so I can review them before I see you. If unable to do this, you may bring them with you. 

New Client forms to be Filled out prior to appointment: 

Nutritional Assessment Questionnaire

Medical Provider Labratory Consent Form:

(Only needed if you'll be getting lab work)

Labratory Consent form

Food log

Consent form to communicate electronically

Contract of Services/Wellness Evaluation Authorization

Heavy Metal Screening Test:

Heavy Metals information

What to do prior to my appointment:

Heavy Metal Test Instructions

Appointment Instructions