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Please feel free to download our initial visit forms and bring them to the appointment with you.

Health History Questionnaire

Food Frequency Questionnaire

Nutrition Education and Counseling Fee Schedule

Initial Visit and Counseling - includes collecting detail medical and diet history, as well as social and family history, and 24-hour diet recall. Recommendations will be made based on the information provided. ($149)

Follow-up Education and Counseling Appointments ($85)

Follow-up Counseling Package - includes 4 follow-up visits ($280)

Monthly Education and Counseling Program: Initial visit and 12 monthly meetings to review patient’s dietary habits/lifestyle. Make recommendations/educate where needed ($950)

Other Counseling Packages Available

Complete Dietary Assessment                                              
      ·         Take diet history, body measurements, and 3-day diet record

·         Review results, make dietary recommendation and set goals

Fit4Life Education Program:                                                                                                
  • Obtain history, measurements, and 24-hour diet record; make recommendations for healthy lifestyle; Set goals
  • Nutrition 101: When Energy In ≠ Energy Out; Calories, Carbohydrates, Fats, and Protein
  • Meal Planning and Cooking; Dining Out; Breakfast and Snacking
  • Food Label and Shopping;
  • Discuss MyPyramid and basis of healthy eating;
  • Learn about Exchange List and portion control
  • Visit at home &/or grocery store
  • Review and answer questions/concerns. Review recommendations & goal
Comprehensive Weight-loss Program 
      ·         Take history, measurements, and diet record
      ·         Review results, make calorie recommendation, set goals
      ·         Basic healthy eating guidelines, provide 7 days of diet + 1 free day choice
      ·         Meet after first week to review the weeks up and downs. Review the free day choices,
            make recommendation &/or educate, review goals. Provide 5-days of diet and 2 free days
      ·         Meet to review the weeks up and downs. Review the free day choices, make recommendation &/or educate,
            Review goals. Provide 2 5-days of diet and 2-3 free days
      ·         Review free days choices. Make recommendations &/or education. Review goals.
            Provide 2 weeks menu and 7 days* of free choices
      ·         Review the choices for the week. Make recommendations &/or educate. Review goals. 
            Set plan for 2 weeks of choice.
      ·         Review choices. Make recommendation &/or wrap up education

Payment is due at the time of service, and you will be responsible for filing with your insurance company. At this time we do not except any insurance benefits.

There will be a $25 charge for any broken or cancelled appointments without a 24-hour notice.

For any questions or to schedule an appointment please call or e-mail us at:

butterflynec@att.net