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Revisit Form

I respect your privacy!  Please be assured that all of your information will remain confidential.

    Please fill out the following and submit the day before your next session:

    PLEASE LIST TYPICAL BREAKFAST, LUNCH, DINNER, SNACKS, AND DRINKS
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Copyright © 2012 Jennifer Hale | Certified Holistic Health Coach | HEALTH4LIFE WELLNESS | [email protected]
ALL RIGHTS RESERVED.


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DISCLAIMER: I am not a medical doctor, dietitian, or nutritionist. I do not hold a degree in medicine, dietetics, or nutrition. I make no claims to any specialized medical training, nor do I dispense medical advice or prescriptions. This content is not intended to diagnose or treat any diseases. It is intended to be provided for informational, educational, and self-empowerment purposes ONLY. Please consult with your doctor or wellness team if you have any questions regarding my whole foods program, and then make your own well-informed decisions based upon what is best for your unique genetics, culture, conditions, and stage of life.  ​