New Client Forms
The forms below are for clients who are new to Inspired Wellness Solutions and will be participating in nutrition or fitness counseling sessions (either individual or group), email support, or a package program. Please read the first document, our HIPAA Notice of Privacy Practices, and then print and complete our New Client Paperwork.
| HIPAA Notice of Privacy Practices (note - you do not need to print this; it is for your reference) |
| New Client Paperwork |
If you will be participating in any web-based sessions, please also complete the Skype Information and Acknowledgment.
| Skype Information and Acknowledgment |
These forms can be completed at your first appointment (if you are a new in-person client) or in advance of your scheduled appointment. For phone and web based appointments, we must have these forms prior to conducting an appointment with you. You can fax your completed forms to Inspired Wellness Solutions at 855-744-0342, or you can send them via postal mail to:
Inspired Wellness Solutions
Attn: Chrissy Carroll
391 Franklin St
Mansfield MA 02048.
*We do not recommend emailing these initial forms, as email is not generally considered a secure form of communication.*
Inspired Wellness Solutions
Attn: Chrissy Carroll
391 Franklin St
Mansfield MA 02048.
*We do not recommend emailing these initial forms, as email is not generally considered a secure form of communication.*
