info@clairesambolino.com

How to Book

Get in touch by phone, email or by completing the contact form below

Consultations are by appointment only and can be conducted in person or via telephone / online for International clients.


Download and complete a Health Questionnaire

You will need to complete and return a Health Questionnaire before your Nutritional Therapy consultation. This provides all the background information and your health history in preparation for your appointment.

The questionnaire is available in English or Italian.

(NB. Please download and save before filling in the editable form otherwise your entries may be lost.)

It is kindly requested that questionnaires be returned 48 hours before your consultation so that your health concerns can be carefully studied, and your food diary analysed.

It is recommended that personal data be emailed or sent using secure post or encrypted email to protect privacy.


Terms of Agreement

All clients are kindly requested to sign the Terms of Agreements before your first consultation. These can be downloaded here.

Privacy

I respect your privacy and am committed to protecting it. Sensitive personal data is collected and used in strict accordance with the new European data protection law; General Data Protection Regulation (GDPR). A copy of my privacy policy can be downloaded here. By using my services you are agreeing to this policy.


3 Day Food Diary for the Dietary Health Check Consultation

A food diary is already incorporated in the Health Questionnaire for Nutritional Therapy clients. For clients wishing to conduct a singular dietary health check please use the template below . NB. Please download and save before compiling.

In English

In Italian


Contact me to discuss your Health Requirements

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