The first step in booking an appointment is completing the Intake and Service Option Form, which provides me with basic information about you, and the nutrition support you are seeking, so I can prepare for your appointment.
Only 3 pages on the form need to be completed: the first two, and the last. The other pages list available services and their costs.
Please choose one of the following options:
1. Complete the Intake and Service Option Form online (Option A).
OR
2. Download the Intake and Service Option Form (Option B), complete the PDF, and email it to the address on the form.
Once we receive your completed form, you will receive an email from the admin account to arrange your appointment.
Once its booked, I will send you an email confirming the time we will meet.
Short on time now? Both options provide a link so you can email the form to yourself and complete it later.
OPTION A: Book Online
Complete the Intake and Service Option Form
Click Here for Step-by-Step Instructions
- The Intake and Service Option Form lists all our services and their prices (GST-exempt).
- Only 3 pages need to be completed:
- Complete the first 2 pages (use point form to keep answers within the provided boxes)
- Complete the last page (Consent for Services)
- Select at least one service from the other pages.
- Drag and drop a PDF copy of your most recent lab test results as a downloaded PDF report (no JPEGs, please) at the end of the online form, or email it to our office once you receive our email reply.
- Click “submit” to send it. You’ll receive a confirmation message.
MCAS, hEDS & POTS? Read here first
Since the amount of background information you may want to send may be too large to fit in the boxes on the form, please follow these instructions:
- Complete the first 2 pages using point form to keep all answers within the provided space. Please do not exceed the size of the boxes as they become unreadable once sent. See step 4 on submitting additional information.
- Sign and date the last page (Consent for Service)
- To book a first visit, select the Initial Consultation.
- For any boxes where you need more space to provide details, download the “Additional Health Information Form,” to your computer, fill it in, and save the file to your desktop with your name.
- Drag and drop the completed “Additional Health Information Form” to the end of the online form, or email it to our office later.
- Drag and drop a copy of your most recent complete blood test results as a downloaded PDF report (no JPEGs, please) at the end of the online form, or email it to our office later.
- Click “submit”. You’ll receive a confirmation message.
OPTION B: Book via Email or Fax
Download and Complete the Intake and Service Option Form Manually
Click Here to Download Form & Step-by-Step Instructions
1. Download the Form
Download the Intake and Service Option Form (dated June 1, 2026) to your computer. Please note that all boxes on the form need to be completed.
✉️ On your phone? Email this PDF link to yourself to open later on your computer
If you want a password-protected form, please send us a note through the Contact Us form, and we will send one.
2. Complete the Form
Complete all the boxes on the form on your computer, tablet, or smartphone using ordinary sentence case (not all capitals or lowercase). For a Windows device, use the free Adobe Online tool, or for a Mac device, use Preview.
Note: Only the first 2 pages of the form need to be completed; the last page must be dated and signed. Select the service(s) you want from the other pages.
Need help? Step-by-Step Instructions here.
3. Email or Fax Your Documents
Email your completed Intake and Service Option Form to the address on the first page of the form, or send us an email to get our fax number.
- Please be sure all boxes are completed
- Please do not scan the form before sending it, as it is needed ‘as is’ for our charting and accounting system.
Please feel free to redact your healthcare number on lab work before sending, or to fax the documents directly to our office.
NOTE: If sending Intake and Service Option Forms for more than one person, please send them in separate emails, with the relevant attachments.
