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Forms and Information for New Clients

To become a client, the following criteria must be met:
  1. Read ABOUT Michael, and understand his approach and the practitioner-client relationship.
  2. CONTACT Michael to schedule an appointment & for a brief introductory conversation.
  3. Complete all "Client Forms" and return before our initial consultation together.
  4. Come prepared with a 3-day food log (2 weekdays and 1 weekend), recent medical diagnostic reports and blood test results, and any other pertinent information.
  5. Come to the consultation with the intention and commitment to create the conditions for healing.

Your eligibility to become and stay a client is invalid if:
  • You smoke cigarettes
  • You utilize addictive drugs of abuse (eg. cocaine, heroin, alcohol, narcotics, etc.)
You may become a client if you previously used abusive/addictive drugs, but no longer use them.

Click the button below to download and print the forms necessary for us to work together. Before accessing the forms, you must have spoken with Michael beforehand for a brief conversation and have had scheduled an appointment. Upon completion, you will receive the password to access these documents.

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2008-2019 Natural Holistic Solutions | 516.690.6471 | Michael J. Pellegrino, M.S. - Clinical Nutritionist & Herbalist
Disclaimer: All services, including evaluation methods, provided by Michael J. Pellegrino are for educational and general health promoting purposes only and may not be construed as medical advice. The services and information provided are not intended to replace medical advice offered by licensed (wholistic/integrative) medical physicians.
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  • Home
  • Meet Michael
    • About Michael
    • Mentors & Influences
    • Testimonials
  • Services
    • Services Overview
    • Consultations
    • Microscopy Evaluations
    • Health Coaching
    • Public Speaking
    • Book Session
    • FAQ
  • Resources
    • Product Recommendations
    • Documents
    • Videos
    • My Interviews
    • My YouTube Channel
    • Websites
  • Events
  • Contact
  • Clients
    • Student Materials
    • Dispensory