Forms/Preparing for Our Consult
I am no longer work with clients in the UK, Europe, or Asia. Please contact me for a referral to one of my UK colleagues.
I require clients to complete a number of forms to give me the information needed to provide a thorough consultation. Because I currently have a long waitlist for new clients, I no longer ask that you complete all the forms to get on my waitlist. Please complete your online Intake Form and, I’ll add you to my waitlist for the next available consultation.
Once we are within about a month of working together I’ll email you and ask that you complete the following forms. If you have concerns about the security of email and online forms, please contact me about sending your completed forms by fax or through the mail.
The Intake Form is an online questionnaire. You must complete all of the required questions or the form will not submit properly to me. Please keep a copy in case of technical issues. IMPORTANT: PLEASE USE CHROME AS YOUR BROWSER. Others such as Firefox have caused difficulties with completing the questionnaire.
The Lab Tracker and Supplement Dosing Schedule are online forms. Please click the link and you’ll be directed to make a copy. If you have a Gmail account they will be stored on your drive; you’ll be asked to open a free Gmail account if you don’t have one. Once you completed these online forms, please click the green Share button at the top right hand corner and share them with me at healingnutritionofsonoma@gmail.com. If you work with an integrative doctor who uses a different lab tracker spreadsheet, please contact me as I may be able to use that one to avoid duplicating efforts.
The Daily Journal and Terms of Agreement should be printed out and filled out by hand. Note: please provide details on your meals and snacks, your sleep patterns, any symptoms you experience no matter how inconsequential they may seem, and your bowel movements based on the Bristol Stool Chart. When the forms are complete, please scan (or take a photo with your phone) and attach it to an email and send them to me prior to your first appointment.
Please report the results of your Personality Quiz so that I may better tailor my approach to your individual tendencies. (I'm a Questioner, by the way.)
Functional Lab Tests
If budget allows, I encourage ordering functional lab tests in advance of our work together. This will give me valuable information about your epigenetic mutations, adrenal and sex hormone metabolism, nutrient deficiencies, mitochondrial health, detoxification pathways, potential fungal/bacterial overgrowth, and toxic burden:
→ Genova Diagnostics NutraEval (contact Maria for discount ordering information)
→ Precision Analytical DUTCH test (contact Maria for discount ordering information)