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 HEALTH CONNECT 

Create the healthiest YOU!

Preferred Method of Contact
Where you are and Where you want to be
MEDICAL
Are you pregnant?
Are you nursing?
Do you have the following?
Are you taking any medications for the following?
*Thyroid Medications: The healthcare provider may wish to monitor thyroid hormone levels while the Client is on the Program and adjust medication.
**Lithium: The healthcare provider may wish to adjust frequency of lab work for the client and monitor
***Coumadin (Warfarin): The healthcare provider may wish to review food choices, conduct lab work and/or adjust medication.
SLEEP
HYDRATION
MOTION
STRESS
EATING HABITS
WEIGHT
SURROUNDINGS

Thanks for submitting, I will be in touch!

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