RD Finders and Personal Training
ph: 4692749255
fax: 2144213835
customer
This page is designed to provide you with necessary forms to fill out prior to your visit with RD Finders and Personal Training.
To the right, you will requested information if you are receiving personal training services or nutrition services.
If you are using your private healthcare insurance to cover the expense of the visit, a copy of your ID and insurance card will be needed for your file. All sensitive patient information is kept private and not release without your authorization. Your primary care provider will receive information regarding our visit as necessary. Your insurance company will be sent a superbill for re-imbursement of nutrition services.
If you have any questions, please contact us at:
If you are a new client, please fill out:
- Client Personal Information
- Confidentiality Agreement
If you are a new nutrition client, please fill out;
- Client Personal Information
- Consent to Treat
- Confidentiality Agreement
- Authorization Form
Please fill out the form below for an appointment for personal training or nutrition services. Your appointment will be confirmed 72 hours before the date and time requested.
Copyright 2010 RD Finders and Personal Training. All rights reserved.
RD Finders and Personal Training
ph: 4692749255
fax: 2144213835
customer