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Forms

Learn about HIPAA and consent forms for our Registered Dietitian in Fort Lauderdale Florida. Ensure your personal health information is protected and understand the consent process for nutrition services.

Please review our HIPAA Notice of Privacy Practice and Informed Consent

for Nutrition Counseling and Registered Dietitian Services.


Please submit online prior to our first session.

Fresh Produce
Green Juice
Measurements
Prescription
In The Lab
Healthy Bowl

Welcome to our HIPAA and Consent Forms page.

As a patient-centered healthcare provider, our registered dietitian values your privacy and security.


To ensure a smooth and protected experience, please download, read and sign the forms provided on this page prior to your appointment.


These forms outline our compliance with the Health Insurance Portability and Accountability Act (HIPAA) and seek your informed consent for treatment.


If you have any questions or concerns, please don't hesitate to contact us.

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