Idaho Nutrition & Wellness Clinic
Idaho Nutrition & Wellness Clinic
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    • Home
    • Nutrition Services
    • Massage Services
    • Supplements
    • Forms
    • Gift Certificates

  • Home
  • Nutrition Services
  • Massage Services
  • Supplements
  • Forms
  • Gift Certificates

Nutrition

Authorization Form for Release of Health Information (docx)Download
Nutrition Pediatric Intake Form (docx)Download
Nutrition Intake Form (docx)Download
Health History Intake Form (docx)Download
Food Diary Log (pdf)Download
Insurance Verification Sheet (docx)Download
MNT Referral Form (docx)Download

Massage

Massage Intake Form (docx)Download

General

Practice Policies (docx)Download
Clinic Privacy Practices (docx)Download
Payment terms for Idaho Nutrition (docx)Download
Authorization Release of Health Information (pdf)Download
Consent Treatment of Minor (pdf)Download

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  • Nutrition Services
  • Massage Services
  • Supplements
  • Forms
  • Gift Certificates