Client Medical History Questionnaire
This simple Medical History Form provides an assessment tool for holistic nutrition practitioners to accurately evaluate each client’s state of health.
The client medical history questionnaire includes questions regarding general health, medications, supplement/herbal remedy information, previous illnesses, family medical history and other pertinent information in this area.
By having your client fill out this form, it will allow you to make safe and relevant recommendations. More importantly, it will help you detect potential emerging conditions before they become pathological.
This is one of the key tools needed by all nutrition practitioners to ensure they are receiving the most in-depth information they can.
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"I've recently just begun using your consulting forms in my practice. I have to say THANK YOU! Your website has made things a lot easier for myself and my clients. Looking forward to see what you guys come up with next!"
-Janette Mason, Certified Holistic Nutritionist
Medical History Form Preview
Branded, personalize, and easy-to-fill online
dynamic form - only display relevant questions
Clean instructions for your client to follow
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Sample PDF Results: Click here to download the sample PDF results. These results will be accessible through your Hub Premium Membership. |
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Hub Pro Version
Send to clients via the Form Sender
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Hub Premium Version
Send to clients via the Form Sender
Professional look and easy to fill out online
Formatted results to your email inbox
Brand form with company banner/logo
Receive results in PDF format to download and save
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Save Results To PDF
Save your client's results to PDF format for easy storage and analysis. Each consulting questionnaire can be saved as a PDF file directly to your computer.