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Lifestyle Education Patient Forms

This page provides links to the various forms you will need to participate in the Lifestyle program.  All forms are in PDF format and can be downloaded and printed at home.

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Initial Appointment

FLT Appointment Letter

Food & Lifestyle Journal  (please complete only 3 days of this form)

Health History

Metabolic Detoxification Questionnaire

FLT Patient Brochure

What is a BIA

Follow Up Appointments

Food & Lifestyle Journal

Metabolic Detoxification Questionnaire

Follow-Up Questionnaire

To Prepare for a BIA appointment

Prepare for your Bioimpedance Analysis (BIA Test) by adhering to the following guidelines:

a. Do not eat for 4 hours prior to testing.
b. Do not exercise for 12 hours prior to testing.
c. Do not consume alcohol for 24 hours prior to testing.
d. Drink your usual amount of water the night before and the day of your appointment. You will be asked to empty your bladder just before the test.
e. Do not drink caffeine the day of your test.
f. Insure access to your right foot with removable footwear (no pantyhose).

 

 

 

 

 

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