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Nutritional Visit Forms

Please fill these forms out and send them to me 2 days prior to your nutrition appointment. This will give me a chance to review your case prior to your arrival giving you the best care possible. Please send them to drbobnutrition@gmail.com

Seven Pillars Form

The Seven Pillars form is to be filled out on a scale of 1 – 10 with 10 being the worst. If it doesn’t apply, leave it blank.

7 Pillars Detailed History

Cataplex B and G

Why do I have to fill out these forms each visit?

Food Diary

Here is a link for a food diary I asked you to fill out. Please print and fill out.

https://www.standardprocess.com/Products/Literature/Daily-Record-of-Food-Intake-50-sheetspad

If you have any questions, please contact us.


The Chiropractic Office of Dr. Bob Apol
Birmingham (205) 251-1251