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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

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.

If you have any questions, please contact us.

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