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Information needed to get started
To begin our work together, please complete these basic forms and fax them to me at (707) 588-8435. It is not always necessary to see you in person. Oftentimes, we can address health concerns by communicating via telephone or internet. If you would like to schedule an appointment, please call me at (707) 849-3569.

Nutritional Questionnaire This is a very detailed questionnaire that will give me a great deal of information about your symptoms and concerns.

Nutritional Intake Form Please complete this basic demographic form as completely as possible.

Food Journal A three day food diary will tell me what you eat and give some insight into how food affects your energy levels.

Disclaimer and Consent As an unlicensed health counselor, it is important to understand that I do not diagnose or treat disease. My approach is to support the foundations of the body so that it can function optimally. Please read, sign, and return.

I may request that you complete other tests.
Please find more information about testing HERE.

"Anne Fischer-Silva has literally changed my life! I feel better now than I did in my 20's! One pleasant side effect is that I've lost 35 lbs. Now I have enough energy to live my life to the fullest. I recommend Anne to everyone!"

~Michelle C.

 

 

 

 

 
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