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Confidential Consultation Questionnaire

Client Intake Form

  • Your Cholesterol #’s

  • For Women

  • For Men & Women

  • For men

  • For Men & Women

  • Describe a typical breakfast, lunch and dinner:

  • Please consult the list available here.
  • How our consultation services work



    Initial Consultation:

    A free 15 min introductory session, either by interactive audio and video technology, via email or phone. Learn more about Holistic Nutrition for the Whole You, and if we are the right fit for you.

    Programs made for you:

    For First Time Clients, are encouraged to select the Taking Back Control of Your Health package to kick start your journey. Customized programs to fit your needs also available.

    What is Teleconsulting/Telemedicine?

    Teleconsulting/Telemedicine is the delivery of health care services using interactive audio and video technology, where the client/patient and provider are not in the same physical location. During your telemedicine consultation with a provider, details of your medical or health history and personal health information may be discussed through the use of interactive audio, video, and other telecommunications technology.

    Depending on your medical or health history and specific complaint, you may be asked to provide information through other electronic means and verify your identity with a driver’s license or another legal document.

    The telemedicine services you receive are not intended to replace a primary care physician relationship or for prescribing, diagnosing or treatment. You should seek emergency help or follow-up care when recommended or when otherwise needed, and continue to consult with your primary care physician and other health care professionals as recommended.

  • Your Contract with Holistic Nutrition for the Whole You & Disclaimer.



    Tammera J. Karr, PhD is not a physician or psychologist, and the scope of her consultation services does not include treatment or diagnosis of specific illnesses or disorders. If you, the client, suspect you may have an ailment or illness that may require medical attention, then you are encouraged to consult with a licensed physician without delay. Only a licensed physician can prescribe drugs. Any mention of drugs in the course of consultation is only for the purpose of providing education and a complete history of drugs that the client is taking and not for Tammera J. Karr, PhD to judge the appropriateness of the medication. Any change in prescription or dosage is a decision the client makes with his or her physician.

    Rather than dealing with treatment of disease, Tammera J. Karr, PhD focuses on wellness and prevention of illness through the use of non-toxic, natural nutritional approaches to achieve optimal health. As a Board Certified Holistic Nutritionist and Natural Health specialist, Tammera J. Karr, PhD primarily educates and motivates clients to assume more personal responsibility for their health by adopting a healthy attitude, lifestyle, and diet.

    While people generally experience greater health and wellness as a result of embracing a healthier attitude, lifestyle, and diet, Tammera J. Karr, PhD does not promise or guarantee protection from future illness.

    By signing below, you acknowledge that you understand that Tammera J. Karr, PhD is a health consultant and not a physician, and that you should see a doctor if you think you have a medical condition. Tammera J. Karr, PhD will not be held liable for failure to diagnose or treat an illness, nor will she be liable for failure to prevent future illness. Additionally, Tammera J. Karr, PhD is not liable for any third party information on nutritional products the client may choose to use.

    Additionally, you promise to give Tammera J. Karr, PhD a complete and accurate account of any medical conditions that you may have and any medications that you are taking.
  • The passcode will be used as proof of identity in all future correspondence and contact.
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