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Trinity Wellness & Fitness Center Dietitian Referral Form Patient Name: ___Date: ___Patient Contact number: ___DOB: ___Diagnosis: ___ Reason for Nutrition Counseling: BMI (18.5 or 35) Weight (kg):___

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How to fill out tri-city wellness center

01

Start by obtaining the necessary forms from the front desk or online.

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Fill out your personal information, including name, address, phone number, and emergency contact.

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Provide details about your medical history, any current medications you are taking, and any allergies you may have.

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Specify any existing medical conditions or injuries that may affect your wellness program.

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If applicable, indicate your fitness goals and preferences for classes or activities.

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Review the completed form for accuracy and sign where required.

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Submit the form to the front desk or designated staff member.

Who needs tri-city wellness center?

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Individuals looking to improve their overall health and wellness.

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Those with specific medical conditions or injuries that require personalized attention.

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Anyone interested in participating in fitness classes, wellness programs, or recreational activities.

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What is tri-city wellness center?

Tri-City Wellness Center is a fitness and wellness facility located in Carlsbad, California.

Who is required to file tri-city wellness center?

Tri-City Wellness Center is not something that needs to be filed. It is a facility for the public to use for fitness and wellness purposes.

How to fill out tri-city wellness center?

There is no form to fill out for tri-city wellness center. You simply sign up for a membership or pay for services as needed.

What is the purpose of tri-city wellness center?

The purpose of Tri-City Wellness Center is to promote health and wellness through fitness and lifestyle programs.

What information must be reported on tri-city wellness center?

There is no specific information that needs to be reported on Tri-City Wellness Center. It is a facility for individuals to use for their fitness and wellness needs.

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