Welcome to Applied Health and Nutrition

Opening Hours : Monday to Friday - 9am to 5pm
  Contact : (313) 652-1000

New patient?

Thank you for choosing Applied Health & Nutrition for your better health goals.  We will strive to accommodate your needs and help you in every way possible.  On your first visit with us, we will ask you to fill out new patient information. Please download and fill out the following forms and bring with you when you come in for your first appointment.

Click the links below to view and print the New Patient Forms.

  1. Instructions for completing forms
  2. Daily Record of Food Intake
  3. New Patient Orientation
  4. New Patient Information
  5. Permission and Authorization Form
  6. Systems-Survey-Form
  7. Toxicity Questionnaire
  8. Stress Assess Questionnaire
  9. Report of Scars

If you have any questions about these forms or anything else, please feel free to contact our office at (313) 652-1000