Forms

Thank you for choosing Erica Van Mieghem Nutrition Consulting in your next step for optimum health. The purpose of the following policies and agreements are to insure that you obtain the most benefit out of the nutrition services provided. Within the forms you will find important content pertaining to your care.
Please take a few moments to review the below forms and bring the signed copies with you on your first visit.

I look forward to guiding and supporting you with your nutrition goals.
Sincerely,
Erica Van Mieghem, MS, RD, CN, CD

Welcome letter
Form 1 Clinic Policies
Form 2 Client Profile
Form 3 Notice of Privacy Practices
Form 4 Authorization to Obtain Release
Form 5 Nutrition and Medical History