ContractNutrition Counseling Agreement • March 16th, 2018
Thank you for choosing DC Nutrition Services, LLC for your nutrition and wellness goals! This agreement summarizes important information you should know about DC Nutrition Services, LLC’s services and provides your written consent for treatment/care. Please read it carefully, ask any questions and then sign, date, and return the form during your initial consultation. In consideration of our preliminary communications and your receipt of nutrition counseling sessions, you agree to the following:
FEES AND PAYMENTNutrition Counseling Agreement • March 18th, 2022
Healthy@Harris Nutrition Counseling AgreementNutrition Counseling Agreement • April 22nd, 2019
AADE7 Self Care Behaviors: How we can help Healthy Eating Understand how nutrition affects your diabetes. Learn to control your blood glucose with proper nutrition while still enjoying your favorite foods. Learn to make food choices that help prevent other health problems. Being Active Understand the health-related benefits of being physically active and find ways to incorporate more activity in your life. Monitoring Learn which tools you need to properly self-monitor your blood glucose levels. Learn how to interpret the readings and what to do if your numbers are off target. You may also need to monitor your heart health (blood pressure, weight, and cholesterol), kidney health, eye health, and foot health. Taking Medication Get comfortable talking to your doctor about your medications. Learn which questions you should be asking. Get support for medication compliance. Problem Solving Learn how to plan ahead to avoid large fluctuations in blood glucose. Know when and what to eat
Healthy@Harris Nutrition Counseling AgreementNutrition Counseling Agreement • July 31st, 2018
AADE7 Self Care Behaviors: How we can help Healthy Eating Understand how nutrition affects your diabetes. Learn to control your blood glucose with proper nutrition while still enjoying your favorite foods. Learn to make food choices that help prevent other health problems. Being Active Understand the health-related benefits of being physically active and find ways to incorporate more activity in your life. Monitoring Learn which tools you need to properly self-monitor your blood glucose levels. Learn how to interpret the readings and what to do if your numbers are off target. You may also need to monitor your heart health (blood pressure, weight, cholesterol), kidney health, eye health, and foot health. Taking Medication Get comfortable talking to your doctor about your medications. Learn which questions you should be asking. Get support for medication compliance. Problem Solving Learn how to plan ahead to avoid large fluctuations in blood glucose. Know when and what to eat for mea
