Health History Form
Thank you for agreeing to do a Health History with me.
It is important to fill out this form before we meet (whether in person or by phone), in order for me to familiarize with you and your health history.
All information entered here and whatever we discuss at our meetings will be treated with strictest confidence. No information will be shared with anyone without your consent.
I appreciate your taking the time to think through the answers to these questions. The more accurate/elaborate your answers, the easier we can possibly identify problem areas and work through it towards achieving your health goals.
Once again, thank you for trusting me with your personal information. Let me reiterate that this is a safe place for you to share openly. There will be no judgment whatsoever. 🙂
I look forward to working with you to help you improve your overall health and well-being.
Oh … and in case you have not yet read about my health coaching service, please go here to understand why you need a health coach and what I offer with my program.
Your Health Coach,