Bay Area Sports Nutrition and Wellness
Eva Pinotti RD CDE
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Client Required Information
In order for Bay Area Sports and Nutrition and Wellness to best serve clients, Eva requires critical intitial information.

For individual consults the below form may be filled out and emailed or sent to Bay
Area Sports Nutrition and Wellness.

Bay Area Sports Nutrition and Wellness (attention Eva Pinotti RD.)
312 Skyline Drive
Daly City  CA    94015


Information Intake Form:
Client Name:

Client main issue(s).
Client main goal(s).
Height (in inches.)
Weight (in pounds.)
Medical History (IE: Cardiac, blood pressure, Diabetes, pregnancy.)
Medications (including vitamins, herbs and supplements.)

3 day food record, including all food, drinks consumed in a 3 day period.
This can be completed Online through WEB site www.fitday.com and sent to Eva by email for her review.   
Eva can best serve individuals when well informed prior to initial contact.
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