Institute of Nutritional Endocrinology (INE): History Taking: Done-For-You Resources

History Taking
Done-For-You Resource

1
 Confirmed you understand and will follow the use and attribution guidelines as directed.
2
 Check as complete if you've reviewed and downloaded the done-for-you resources.

INE done-for-you resourcesAs an INE student, you have permission to use the resources on this page for your professional use with your clients.

You are welcome to distribute the materials on this page “as is” (with the existing footers) or personalize them as long as you put ONE of the following acknowledgements on each page in the footer:

  • Distributed by your name with permission.
    © Dr. Ritamarie Loscalzo, MS, DC, CCN, DACBN, Institute of Nutritional Endocrinology (INE) www.DrRitamarie.com
  • Adapted by your name with permission.
    © Dr. Ritamarie Loscalzo, MS, DC, CCN, DACBN, Institute of Nutritional Endocrinology (INE) www.DrRitamarie.com

This page contains templates for all of the history taking tools presented in this module.  When you’re first starting out, you can save time by using these forms as is and giving them to your clients to complete.  As time goes on, you will probably want to create some of your own forms, using questions from these as guides.  Feel free to rephrase things to reflect your own voice and the need of your specific clientele.

In the module, you have access to online versions of some of these.  There are several good forms creation tools – some paid and some free.  Experiment with a couple of forms to find the one you like most, and start to develop your own.

General History Taking Form Templates

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Pillars of Health Assessments – Body Freedom Foundations – Identify Obstacles

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Tracking Forms

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