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Prior to your first appointment at CSI, we would like you to download and fill in the following forms.
- Three Day Activity Log
This form will help us better understand what your life is like when you provide us with an overview of three days of your typical activities. This information is important to understand the quality of your life both physically and psychologically.
- Three Day Intake Log
This form will provide our nutritionist with an overview of your typical eating habits and food selections over a three day period. She will utilize this information as part of your comprehensive nutritional analysis.
- HIV/AIDS Consent for Treatment
- HIV/AIDS Comprehensive Assessment
Getting to know you is important to us. This form is designed to help make that process as efficient as possible. You will notice that this form taps into information from many areas of your life that are often overlooked. Therefore this form asks you to disclose information that will be helpful to our psychotherapist as she gets to know you during your initial evaluation.
- CFIDS/FM Consent for Treatment
- CFIDS/FM Comprehensive Assessment
Getting to know you is important to us. This form is designed to help make that process as efficient as possible. You will notice that this form taps into information from many areas of your life that are often overlooked. Therefore this form asks you to disclose information that will be helpful to our psychotherapist as she gets to know you during your initial evaluation.
The above forms are in Adobe PDF format. If you cannot open the forms, please download and install the free Adobe Acrobat reader by clicking the link below.
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