Please fill out the 2 forms below and either email them to me
at info@jennyfowler.com, or bring them to your first appointment.

Health Intake Form

Food Journal

For the food journal please complete 5 days in as much detail as possible. Amounts of food and liquid, as well as all the ingredients of meals to the best of your ability, are important for the assessment. Let me know if you have any questions.

I look forward to meeting with you!


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Jenny Fowler - Certified Nutrition Consultant

(415) 717-7470 - San Carlos, CA


I am not a doctor. The information on this website should not be considered medical advice and is not intended to treat, diagnose, prevent or cure any conditions, physical or otherwise. Information provided on this website has not been reviewed or approved by any federal, state, or local agency or healthcare group. Opinions expressed are solely those of the author and do not represent any particular individual or professional group.