Jan Kincaid Rystrom, MEd, RD, CDE
360.734.2612fax: 360.734.2831
email: jan@mixingbowlstudio.com1100 Larrabee Avenue, Suite B2
Bellingham, WA 98225-7134
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| Forms |
In cooking, it takes good ingredients to make a great dish. In our Studio, good information is the key ingredient. These forms will help to make the most of your visits to the studio.
If you have insurance coverage, you will need the Referral Form signed by your health provider. They can FAX it to us at least 3 days prior to your appointment at 360-734-2831.
Health History and Goals:
This provides us with the background we need to help create your plan for health. Be sure to include your personal goals.
Food Record:
It is important to know, and respect, your lifestyle. Please keep a record of at least 3 days of everything you eat and drink. Bring this to your first visit, or fax it in so we can review it before your first visit.