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  • NEW CLIENT INTAKE FORM

    Scheduling

  • NEW CLIENT INTAKE FORM

    Basic Information
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  • 5 Main Goals (prioritized):

  • NEW CLIENT INTAKE FORM

    Medical History

  • Females

  • Allergies

  • Intake

  • NEW CLIENT INTAKE FORM

    Movement

  • Digestion

  • Stress Assess

  • NEW CLIENT INTAKE FORM

    Medications/Supplements
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  • Missed Appointment Policy - Updated August 2025

    At Langlois’ Vital Nutrition Center our primary goal is to help as many people as possible achieve optimum wellness. To assist us in doing so, we ask our clients for a minimum of 24-hours notice for all appointment cancellations or reschedules. This provides respect to our practitioners, their time, and affords them the option to help as many clients as possible within the time they have made available.

    We understand that life is unpredictable and occasions may arise that require you to change appointments, so we have implemented a “3-Strike” Policy for appointments canceled less than 24-hours in advance of the scheduled appointment time:

    Initial Consultations: If the appointment is missed (no show) there is a $45 fee.

    Future appointments:

    ✘ Strike 1: No questions asked, fee is waived if appointment gets
    rescheduled.
    ✘ Strike 2: Client will be charged 50% of the appointment fee and be asked
    to provide payment information to be kept on file.
    ✘ Strike 3: Client will be charged a fee equivalent to consultation price.

    By submitting this form, you confirm that you have reviewed and understand the policy outlined above.

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