Paperwork Submission Options
Please complete your paperwork in one of the following manners:
1. Complete the registrations forms, and bring them to the office at the time of your visit. If you need to fill out the paperwork at the office, please arrive 30 minutes early for your visit.
2. Fill out the forms online, and upload them onto the Schedule Visit page with with your information. Then, request an Initial Visit.
3. Email the forms to letschat@
If you have any questions about filling out the forms, please call 563-320-1021 or reach out to us in the Schedule Visit form below.
- Initial Nutrition Visit
- Informed Consent
- Weekly Food Journal please fill out 5-7 days of logging (if you prefer to use the My Fitness Pal app, please request us to be friends, and allow me to see your food log by changing the Diary Settings UN: Jlorin210)
- Metabolic Assessment Form
- Initial Visit- Lymes Questionnaire