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New Client Intake Forms

Health Evaluation Profile Questionnaire

The Health Evaluation Profile Questionnaire is for all new clients who will be consulting with the Clinical Nutritionist. This form is recommended for those who are also taking advantage of the Free 15 Minute Conusultation

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Complete all of these clinical metabolic assessment forms if you will be doing any nutrition programs or consultation time with the Clinical Nutritionist. Please complete them at least 24 hours before your scheduled appointment. These are not required for the Free 15 Minute Consultation, but may be helpful in determining if the client and practitioner should work together.

Metabolic Assessment Form

Assessment 1

Neurotransmitter Assessment Form

Assessment 2

Toxicity Profile Questionnaire

Assessment 3


Register GxSLIM/GxRENEW DNA Test Kit

Those who have purchased the GxSlim DNA-Based Weight Management Program must register their kit and complete the Personal Health Questionnaire and Consent form before submitting their DNA specimen. The Test Kit ID is on the test tube in your sample collection kit and is a 14 digit number. You will need this number to begin the registration process.

Register Kit