HEALTH AND NUTRITION EVALUATION

This  evaluation is intended for educational purposes only, to assist the individual in learning how to preserve their own health.  It is not intention of this evaluation to diagnose or to prescribe any medication, treatment or modality for any physical or mental disorder, disease, ailment, complaint or anomaly.  Therefore any use of the information obtained from this health and nutritional evaluation, is at the sole discretion of, and in response to the direct request made by the individual whose name is on this form.

Thanks for submitting!