Private Client Intake Form

I'm a Registered Dietitian Nutritionist with over 26 years of experience, a Certified Culinary Medicine Specialist, and I hold a Certificate in Adult Weight Loss Management. I partner with Nourish to support clients with insurance billing for nutrition services.

At Nourish, our mission is to help patients live healthier, longer lives — and that starts with making care accessible. We partner with major insurers to provide high-quality nutrition care with minimal out-of-pocket costs — in fact, 94% of patients pay $0.

To give you peace of mind, we offer the Nourish Guarantee: you'll never be charged more than the initial estimate for past visits, even if your insurance processes the claim differently. Any updates to out-of-pocket costs apply only to future appointments, and you’ll be notified of any changes in advance.

Please complete the form below to help us verify your insurance coverage.  

We won't send spam. Unsubscribe at any time.

Private Client Intake Form

We won't send spam. Unsubscribe at any time.

I'm a Registered Dietitian Nutritionist with over 26 years of experience, a Certified Culinary Medicine Specialist, and I hold a Certificate in Adult Weight Loss Management. I partner with Nourish to support clients with insurance billing for nutrition services.

At Nourish, our mission is to help patients live healthier, longer lives — and that starts with making care accessible. We partner with major insurers to provide high-quality nutrition care with minimal out-of-pocket costs — in fact, 94% of patients pay $0.

To give you peace of mind, we offer the Nourish Guarantee: you'll never be charged more than the initial estimate for past visits, even if your insurance processes the claim differently. Any updates to out-of-pocket costs apply only to future appointments, and you’ll be notified of any changes in advance.

Please complete the form below to help us verify your insurance coverage. Â