New Patient Forms: diabetes, weight control, eating disorders, diet counseling

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Banister and Associates LLC
Nutrition Consulting and Management

Please complete each of the following forms and bring to your first appointment. If for some reason you do not get these forms completed prior to your appointment, be sure to arrive at least 30 minutes prior to your scheduled appointment to complete the forms in our office.

Forms to complete are:

1) Medical/Nutrition History - 6 pages
2) Office Procedures
3) Cancellation Policy
4) Records Release/Receipt of Privacy Policy/Contact Phone Numbers
5) Assignment of Benefits

Full Set Forms (PDF) - download now

 

 

 

 

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Copyright© 2010, Banister and Associates LLC, Nutrition Consulting and Management
All Rights Reserved

Banister and Associates LLC, Nutrition Consulting and Management
Mercy Tower, Suite 508
4200 W. Memorial Road
Oklahoma City, OK 73120
405.755.7561

www.banisternutrition.com

Page Last Updated: April 6, 2010

Who We Are: Banister and Associates is a nutrition services company based in Oklahoma City, OK. Registered Dietitians (RDs) provide nutrition counseling for diabetes, weight control, eating disorders and diet counseling. We provide optimal services and have fun doing it!

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