Sinnergy Wellness Group
R · E · S · T · O · R · E  ·  M · N · T
Welcome to Your Intake
A few quick questions so we send you the right forms. This takes under a minute.
Question 1 of 2
Who is this intake for?
We ask this first so we can show you the right forms. Clinical content differs between adult and pediatric nutrition care.
Question 2 of 2
Who is completing the forms?
This helps us word questions appropriately. You can change the answer later inside the forms if needed.
Ready to begin
Your forms are ready.
You have two clinical intake forms to complete. Take breaks as needed — they don't auto-save between sessions, so finish each form in one sitting.
Privacy note
These clinical forms collect only your first name and last initial — not your full name. Full contact details are on your Business Intake and consent forms, which Kristine sends separately.
Ready to begin
Your forms are ready.
You have two clinical intake forms to complete. Take breaks as needed — they don't auto-save between sessions, so finish each form in one sitting.
Privacy note
These clinical forms collect only the child's first name and last initial — not their full name. Full contact details are on the Business Intake and consent forms, which Kristine sends separately.