Patient Intake Schedule

By submitting this form, I agree to the privacy policy and terms and conditions and give my express written consent to Washington Nutrition & Counseling Group to be contacted via text and phone call, even if this number is a wireless number or if I am presently listed on a Do Not Call list. I understand that I may be contacted by telephone, email, text message, or mail regarding marketing services and that I may be called using automatic dialing equipment. I understand that I can reply STOP to STOP communications at any time. Message and data rates may apply. My consent does not require purchase.