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1:1 Nutrition Counseling with Sharon

Hi! I’m so glad you’re here.
Please fill out this quick form so I can learn a little more about you and guide you through the next steps to get started.

After you submit, keep an eye on your email and/or phone—I’ll reach out within 2 business days. Many clients are able to use insurance for sessions, and I’ll help you check your benefits if that’s something you’re interested in.

First Name *

Last Name *

Email *

Preferred method of communication (I’ll use this to reach out within 48 hours) *

Phone call

Text

What would you like support with? (Select all that apply): *

Chronic condition support (prediabetes, diabetes, cholesterol, blood pressure, etc)

Celiac disease

Digestive concerns (IBS, constipation, diarrhea, etc)

Sports nutrition (fueling, recovery, body recomposition)

Weight management

Plant-based or vegan eating

Intuitive eating

GLP-1 support

General health & wellness

Other

If you chose "other" in the question above, please expand:

What state are you currently located in? (This helps me confirm availability and insurance coverage) *

Would you like to use insurance for your sessions? *

Yes Please

No Thank You

If yes, what insurance do you have? (I’ll follow up to verify your benefits—many clients are covered at $0) *

Do you know your plan type? (This helps me better understand your coverage) *

PPO

HMO

EPO

POS

Medicare

Medicaid

Not sure

Date of birth *

How did you hear about my services? *

Is there anything else you’d like me to know before we connect? *

I’m Sharon — a registered dietitian nutritionist who loves creating personalized nutrition plans. I’m passionate about helping individuals like you achieve your health goals and live a balanced, fulfilling life without sacrificing your favorite activities or time with loved ones.

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