Rev. Yolanda Badillo, A.A.D.P., H.H.C., D.A. Hom., C.B.P.
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Client Name Date Email Address Phone Extension What positive changes have you noticed since your last appointment? What are your main concerns at this time? Any changes with weight? Yes No
Weight comments: How is sleep? Constipation or diarrhea? How is your mood? Are you cooking more? What foods do you crave?
Any other comments?
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