Harmonic Nutrition and Wellness




Options for Individuals

Welcome!  I’m delighted to have you as a new client, and I’m looking forward to working with you. At Harmonic Nutrition & Wellness, we help individuals develop healthy, balanced relationships with food and exercise.

In Person & Distance Appointments

Our clients can choose what’s most comfortable and convenient for their schedules and personal preferences from among the modalities we offer for counseling, consultation and coaching:

In Person – For clients local to our Lake Barrington, Illinois office [click here for location details] I currently see clients in person on Tuesdays and Thursdays, from 2:00-7:30 PM. We’re located inside the Pediatric Specialists of the NW office building.
Telephone – Audio only, generally for individuals
Teleconference – FreeConferenceCall.com for phone groups or Skype for those who prefer audio interchange via their computers
Webinar – GoToMeeting.com or webcam-enabled Skype – For those who prefer visual as well as audio interaction via computer


You can schedule an appointment for a consultation or coaching session via telephone or by request an appointment here on our website. We request the courtesy of at least 48 hours notice before you wish to have your appointment.

I reserve up to 75 minutes for your first appointment and 45-50 minutes for subsequent visits. To make the most of your appointment time, we’ve provided all the forms you may need below. Please download those pertinent to your reason for visiting, fill out all paperwork, and return them to our office 24 hours prior to your appointment. 

The fastest ay to make an appointment is by filling out our appointment request form or by email


Intake Forms

To help make your first visit or distance consultation more immediately productive, we like to get the necessary paperwork out of the way ahead of time. So, click on the appropriate interactive PDF form name below to complete it online and email it to us or download it to your computer, complete it and print it out as hardcopy and mail it or fax it in before your appointment, so we can be ready to go. Thank you.


Pediatric Clients:

icon Peds Consent Release Authorization with HIPAA

icon Practice Policies

icon 3 Day Food Diary

icon Peds Physician Referral Form


Disordered Eating Clients:

icon New Client Intake Form DEP


Coaching Clients:

icon Coaching Practice Guidelines

icon New Client Coaching Form

icon Food & Mood Log


Food Sensitivities & Intolerances Clients:

icon Food Sensitivity Testing Form

icon Food Sensitvity Symptom Survey Form



icon Credit Card Payment Info