Health History Revisit Form
All information will remain confidential between you and myself, Lacey Maloney.
What positive changes have you noticed since your last session?
How is your sleep?
Any changes in digestion? More or less bloating, constipation, indigestion, etc?
Any changes with weight?
How is your mood?
What are your main concerns at this time?
Are you cooking more?
What foods do you crave?
What is your diet like these days?
Should be Empty: