Interested in starting Ideal Protein without paying program start fees? Click here to check out our new dieter specials.
Home Patient Forms Ideal Protein Health Profile Form
Dietary consultation involves a health profile. The purpose of the health profile is not to establish a diagnosis, but rather to determine a client’s health status in order to guide his or her weight loss plan. A client may be advised to seek medical advice based on his or her health profile.
Please list any physicians you see and their specialty:
Please list all over-the-counter and prescription medications (including weight loss medications) and supplements you are currently taking. Refer to the example in the first line.
*NPA – Needs Provider Approval
*NPC – Needs Provider Consent
And we will give you the solution
Subscribe to get new recipes via email