FMC – One on One Consultations



We are delighted that you are ready to take your health and nutrition further. We developed Prescribe Nutrition programs 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. Pairing our program with private work, we are able to build a streamlined and unique path for you, while the ongoing FMC Work Well program will lay a foundation for long term health.


FMC 1 on 1 consultations 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.
  • Within 48 hours of submitting this application, we will review and contact you. We would then schedule your appointment from there!
  • 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.

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