FOLLOW-UP CLIENT STATUS FORM

FOLLOW-UP CLIENT STATUS FORM

  • If using Glucometer & Ketodiasticks:

  • Required for Follow-Up appointments:

    1) Follow-Up Client Status Form (deliver, mail or scan/e-mail 24+hrs prior to appointment time)
  • The following can be included with above F/U Status form or brought to appointment:

    2) Iodine Patch Test results
    3) Daily Log Sheets
    4) Lab work if due (every 6 months)
  • Note any Changes to:

HEALTHY HORIZONS 30 E. Washington St. Ste. E. Kalispell, MT 59901
406-885-3387 * www.MetabolicRepair.net * e-mail: Lynn@MetabolicRepair.net

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