1-1 Consultations with Prescribe Nutrition


We are delighted that you are interested in taking your health and holistic nutrition further. We developed Prescribe Nutrition because what we were seeing in our private practices was this: for the majority of people, if they make subtle shifts in their diet, understand the “whys” behind food, and remain committed with the support of others, they will see drastic improvements in their overall health. The experience our programs offer lay a solid foundation, and from there we can dig deeper on a more personal and customized level.

*If you have come to us via The Root of Health website please indicate so below; some people with specific digestive concerns may warrant skipping the program pre-requisite.

**Please note that at this time we are unable to accept any form of health insurance.

Ready for a little 1 on 1 with the Prescribe Nutrition team?

Please take a few moments to fill out this form. This will help us understand your goals and make the most out of your consultation.
  • Acknowledgement and Consent to Receive Services

  • PAYMENT: After our session is complete we will invoice you via Square Cash online payment where you can pay with your debit card. If you need to pay with credit card via PayPal, we will send a PayPal invoice, but will include the 2.9% processing fee.
  • CONSENT TO RECEIVE SERVICES: State law requires that you acknowledge receipt of the information provided in this form and that you initial it as acknowledgement. "I have read and understand the above disclosure about the nutrition services offered by Prescribe Nutrition. I understand that my nutritionist is not a licensed physician and that nutrition services are not licensed by the state." By initialing below, you acknowledge that any dietary or supplemental suggestions made by Prescribe Nutrition are entirely nutritional in nature, and are not intended as the diagnosis, cure or treatment for any disease or ailment. You also acknowledge that your physician is your primary health care provider, and is responsible for supervising all changes in diet and nutrient intake that you make.
  • CANCELLATION POLICY: You will provide 24-hour notice if an appointment must be missed or pay for half the missed session.