3/18/11. A Little History. Implementing NSP's New Brilliant Body, Brilliant Business Program into Your Herbal Practice. Steven Horne, RH(AHG)

Size: px
Start display at page:

Download "3/18/11. A Little History. Implementing NSP's New Brilliant Body, Brilliant Business Program into Your Herbal Practice. Steven Horne, RH(AHG)"

Transcription

1 A Little History Implementing NSP's New Brilliant Body, Brilliant Business Program into Your Herbal Practice Steven Horne, RH(AHG) I signed up as an NSP Distributor in the spring of 1981 I went to work at home office in March of 1984 I started teaching Manager School in the spring of 1986 Things NSP Does Very Well Produces a high quality product Supports real training about health (better than any company I know) Supports health freedom (better than any other company) Has a great sales force (honest, caring people) Has good compensation, rewards and incentives NSP s Past Marketing Issues How do you recommend products without prescribing? How can home office people (who have never sold a bottle of herbs in their life) tell people in the field how its done? ADHD is no way to build a business Clear branding is essential to marketing a product after a market becomes mature Consistency is necessary for duplication and duplication is essential for the growth of any company, especially a network marketing company Solutions Focus on systems (structure & function) not disease Listen to the field and get field input when developing programs Create a consistent focus (identify) that tells people where to get started in the business Create a uniform message, consistent labeling and focused product development Stick with a simple message and approach that others can learn and master Three Market Niches Network marketing Retail Practitioner Most companies only cater to one, NSP allows all three! NSP will be developing materials to support all three 1

2 A Systematic Approach to the Nature s Sunshine Product Line Brilliant Body Pack Committee Core Nutrition Weight Management Energy and Fitness Body Systems Chinese Herbs Rest of the Product Line Brilliant Body Catalog Jennifer Weiss Jean Weddle Jennifer Pressimone Hannah Pavick Blake Christensen Ray Lambert Steven Horne Body System s Approach Designed to be a simplified way to introduce people to NSP s products Matching to key system s products wasn t always effective New packs and support products offer more flexibility Digestive Indications Body odor or bad breath Difficulty digesting certain foods Food allergies Heavy coating on tongue Belching or gas after meals Age related health problems Difficulty maintaining ideal weight Diet high in meat and grains Heavy mucus production or feeling congested Less than 2 bowel movements daily Brittle or easily broken fingernails Dry, damaged or dull hair Daily consumption of fried foods Recurrent yeast/fungal infections Weak bones, teeth or cartilage Feeling anxious or worried Digestive System Pack AM packet contain 3 Proactazyme PM packets contain 1 Anti-Gas TCM capsule 2 Probiotic Eleven. Use: 1 AM packet before breakfast, 1 PM packet with dinner Digestive Support Products Food Enzymes Over 50, gall bladder removed, lack of HCl Gastro Health Helpful for gastrointestinal infections like H. pylori Stomach Comfort Younger people with temporary acid indigestion Spleen Activator TCM Older people, difficulty gaining weight, weak digestion 2

3 Hepatic Indications Hepatic System Pack Difficulty digesting certain foods Monthly female concerns (PMS, menstrual problems) Regular consumption of alcohol Food allergies Skin/complexion problems Feeling down, uninterested or moody Difficulty getting to sleep, lack of sleep Fewer than 2 bowel movements per day Daily consumption of fried foods Food/chemical sensitivities Feeling irritable or easily angered AM packets contain 2 Milk Thistle Combination tablets 1 Liver Balance TCM capsule. PM packets contain 6 Psyllium Hulls. Use: Take 1 AM Pack with Breakfast and 1 PM packet with dinner Hepatic Support Products Mood Elevator Depression, low energy, Blood Stimulator PMS, heavy menstrual bleeding, pale, weak Gall Bladder Formula Poor fat digestion (also consider Hi- Lipase), gall bladder problems Intestinal Indications Body odor or bad breath Less than 2 servings of fruits and vegetables daily Monthly female concerns Regular or frequent use of antibiotics Heavy coating on tongue Belching or gas after meals Skin/complexion problems Daily consumption of dairy products Feeling down, uninterested or moody Sore or painful joints Diet high in meats and grains Heavy mucus production or feeling congested Fewer than 2 bowel movements per day Recurrent yeast/fungal infections Respiratory concerns Each packet contains 2 Bowel Detox 1 Probiotic Eleven capsule 2 Psyllium Hulls Use: One packet twice daily (morning and evening) Intestinal Pack Intestinal Support Products LBS II Herbal laxative Gentle Move Mild herbal laxative, helps tonify and improve colon health Intestinal Soothe and Build Inflammatory bowel disorders, Chron s, colitis, IBS, ulcerations Anti-Gas TCM Belching, rotten-egg taste in mouth, intestinal gas, poor digestive motility 3

4 Circulatory Indications Less than 3 servings of fruits and veggies daily Gum problems or redness on nose Smoking Poor memory or concentration Stressful lifestyle Age-related health problems Lack of energy or endurance Diet high in meat and grains Low sex drive Daily consumption of fried foods Cold hands and feet Feeling irritable or easily angered Don t exercise regularly Circulatory System Pack AM packets contain 2 Ginkgo and Hawthorn Combination 1 CoQ mg softgel 1 Super Omega-3 softgel. PM packets contain 1 Ginkgo and Hawthorn Combination capsule 1 Super Omega-3 softgel. Use: Take the contents of one AM packet with breakfast and one PM packet with evening meal Circulatory Support Products Nervous System Indications Blood Pressurex High blood pressure Red Yeast Rice High cholesterol Solstic Cardio High blood pressure, general cardiovascular health Vari-Gone Varicose veins, spider veins Nervous Fatigue Formula Heart weakness, angina associated with stress Regular consumption of alcohol Smoking Poor concentration or memory Stressful lifestyle Feeling down, uninterested or moody Difficulty getting to sleep or lack of sleep Menopausal problems Difficulty maintaining ideal weight Fewer than 2 bowel movements per day Low sex drive Daily consumption of fried foods Frequently feeling fearful or timid Muscle cramps or spasms Daily consumption of caffeinated beverages Restless sleep or waking up frequently Feeling anxious or worried Feeling irritable or easily angered Nervous System Pack Each packet contains 2 Stress-J 2 AdaptaMax 1 Nerve Eight capsule 1 Nutri-Calm tablet Use: Take one packet in the morning and one in the evening Nervous System Support Products Brain Protex with Huperzine A Protection against age related memory loss, dementia, Alzheimer's Nervous Fatigue Formula Burn-out, fatigue with restless sleep, chronic stress Focus Attention ADHD, difficult with concentration or focus 4

5 Illness more than twice a year Less than 3 servings of fruits and veggies Recent or frequent use of antibiotics Food allergies Poor resistance to disease Stressful lifestyle Age-related health problems Sore or painful joints Lack of energy or endurance Exposure to air pollution daily Shallow or difficult breathing Recurrent yeast/fungal infections Respiratory concerns Immune Indications Immune System Pack AM packets contain 1 VS-C TCM 1 Elderberry D3fense 1 Immune Stimulator PM packets contain 1 Elderberry D3fense 1 Immune Stimulator Use: Take AM packet with breakfast and PM packet with evening meal Immune Support Products Silver Shield Topically or internally for acute infections Trigger Immune TCM Weak, pale, easily sick, recovering from prolonged illness Olive Leaf Extract Acute infections Lymphatic Drainage Swollen lymph nodes, congestion Respiratory Indications Illness more than 2 x year Recent or frequent use of antibiotics Food allergies Smoking Heavy coating on tongue Daily consumption of dairy products Lack of energy or endurance Heavy mucus production or feeling congested Fewer than 2 bowel movements daily Exposure to air pollution daily Shallow or difficult breathing Recurrent yeast/fungal infections Respiratory concerns Respiratory System Packet AM packets contain: 1 Lung Support TCM 2 Bronchial Formula 3 ALJ PM packets contain: 2 Bronchial Formula 3 ALJ Use: Take AM packet with breakfast and PM packet with evening meal Respiratory Support Products HistaBlock Food and respiratory allergies, skin allergies Sinus Support EF Sinus congestion Breath Activator TCM Difficulty breathing due to congestion in the lungs, asthma (use with lobelia) 5

6 Urinary Indications Body odor and/or bad breath Less than 3 servings of fruits and veggies Monthly female concerns Puffiness under the eyes Skin/complexion problems Frequent urination or urinary concerns Sore or painful joints Difficulty maintaining ideal weight Diet high in meat and grains Weak knees, ankles or back Frequently feeling fearful or timid Restless sleep or waking frequently Weak bones, teeth or cartilage Urinary System Packet Each packet contains 1 Urinary Maintenance 2 Combination Potassium 1 KB-C TCM Use: Take contents of one packet in AM and one in PM Urinary Support Products Cranberry and Buchu Concentrate For preventing UTIs Kidney Activator For acute water retention, edema JP-X For active UTIs Kidney Drainage For strengthening kidney function and reducing edema (works well with Lymphatic Drainage) Glandular Indications Monthly female concerns (female reproductive) Regular consumption of alcohol (adrenal, pancreas) Poor concentration or memory (adrenal, thyroid) Stressful lifestyle (adrenal) Skin/complexion problems (thyroid, reproductive) Cravings for sweets and junk food (pancreas, adrenal) Feeling down, uninterested or moody (thyroid, adrenal, reproductive) Difficulty getting to sleep; lack of sleep (adrenal) Menopausal concerns (reproductive, adrenal, thyroid) Age-related health problems (all) Difficulty maintaining ideal weight (thyroid, pancreas, adrenal) Lack of energy or endurance (thyroid, adrenal) Low sex drive (reproductive, thyroid, adrenal) Dry, damaged or dull hair (thyroid) Frequently feeling fearful or timid (adrenal) Cold hands and feet (thyroid) Daily consumption of caffeinated beverages (adrenal) Restless sleep or waking up frequently (adrenal) Feeling anxious or worried (adrenal, thyroid) Feeling irritable or easily angered (reproductive) Glandular System Pack Each packet contains 1 Master Gland Formula 2 AdaptaMax 1 Adrenal Support Use: Take contents of one packet in AM and one in PM Glandular Support Products SugarReg High blood sugar, diabetes Thyroid Support Low thyroid Mood Elevator TCM Depression Nervous Fatigue Formula TCM Adrenal fatigue, nervous exhaustion, chronic stress 6

7 Female Support Products Female Comfort General hormonal balancer for women X-Action (Women s) Supports sex drive Flash-Ease, Time Release Helpful for menopause symptoms, hot flashes Male Support Products Men s Formula Helps with BPH, testosterone levels Men s X-Action Reloaded Helps with sex drive, erectile dysfunction Structural Indications Skin/complexion problems Menopausal concerns Age-related health problems Sore or painful joints Diet high in meat and grains Weak knees, ankles or back Brittle or easily broken fingernails Dry, damaged or dull hair Muscle cramps or spasms Daily consumption of caffeinated beverages Weak bones, teeth or cartilage Don t exercise regularly Structural System Pack Each packet contains 2 Skeletal Strength tablets 2 Joint Support 2 EverFlex tablets Use: Take contents of one packet in AM and one in PM Structural Support Products IF Relief Relieves inflammation and pain, alternative to NSAIDs Krill Oil w/k-2 K-2 and D3 help bones and teeth absorb minerals HSN-W Silica-rich herbs, helpful for brittle fingernails, dull skin and hair, split ends, joint problems, bone healing KB-C TCM Back pain, neck pain, weakness of the knees and ankles, osteoporosis and arthritis Chinese Herbal Products The Chinese herbal products are all part of the core products, so you can also train people in basic Chinese philosophy The Chinese herbal products by themselves are a unique and powerful NSP core product 7

8 Core Product Training Class Five session webinar with in-depth training on: Basic principles of good marketing Core health categories Body system s products Chinese herbs You will not only get the training, you will also get the PowerPoint slides and materials so you can teach this system to your group Class Dates and Registration Training Dates: Monday, March 28, April 4, 11, 18, 25 All sessions are recorded and can be downloaded and viewed at any time Cost is $47 for Tree of Light Members (Associates) and $97 for Non- Members Register online at or call Question and Answer Time 8

3/18/11. Implementing NSP's New Brilliant Body, Brilliant Business Program into Your Herbal Practice. Steven Horne, RH(AHG) A Little History

3/18/11. Implementing NSP's New Brilliant Body, Brilliant Business Program into Your Herbal Practice. Steven Horne, RH(AHG) A Little History Implementing NSP's New Brilliant Body, Brilliant Business Program into Your Herbal Practice Steven Horne, RH(AHG) A Little History I signed up as an NSP Distributor in the spring of 1981 I went to work

More information

Symptom Review (page 1) Name Date

Symptom Review (page 1) Name Date v2.4, 2/13 JonathanTreasure.com Botanical Medicine & Cancer Herb Drug Interactions Herbalism 3.0 Symptom Review (page 1) Name Date INSTRUCTIONS Please read each section below carefully and, after each

More information

New Patient Medical History Intake Form

New Patient Medical History Intake Form New Patient Medical History Intake Form Name: Todays Date: / / Date of Birth: / / Age: Gender: M / F Marital Status: S M D W Address: City: State: Zip Code Primary Ph.# (cell, hm, wk) Email Address 2nd

More information

CAN I S Ay. A Guide To

CAN I S Ay. A Guide To CAN I S Ay that? A Guide To acceptable product claims Introduction Determining what we can and cannot say about NSP products can be confusing at times. This pamphlet is designed to provide NSP distributors

More information

Dr. Miller s Detox Tea Detailed Product Information

Dr. Miller s Detox Tea Detailed Product Information Dr. Miller s Detox Tea Detailed Product Information LurraLife is honored the join forces with Dr. Miller to bring his original Holy Tea formula to market as Dr. Miller s Detox Tea. For more than twenty-five

More information

Digestion Assessment Scorecard

Digestion Assessment Scorecard Name Digestion Assessment Age Height Weight Based upon your health profile for the past 30 days, please select the appropriate number, from '0-3' on all questions (0 as least/never/no and 3 as most/always/yes).

More information

Emotional Relationships Social Life Sexually Recreation

Emotional Relationships Social Life Sexually Recreation Name Date Address City State Zip Married Single Partner Divorced Widowed Date of Birth SS# Email Work Phone Home Phone Cell Phone Occupation Referred by Emergency Contact Family Physician Contact May we

More information

BACK TO BASICS HEALTH & NUTRITION COMPREHENSIVE HEALTH HISTORY

BACK TO BASICS HEALTH & NUTRITION COMPREHENSIVE HEALTH HISTORY BACK TO BASICS HEALTH & NUTRITION COMPREHENSIVE HEALTH HISTORY Thank you for choosing Back To Basics Health & Nutrition to assist you with your natural health care. The ability to draw effective conclusions

More information

Hormone. for Women. Dr. Melanie MacIver, ND

Hormone. for Women. Dr. Melanie MacIver, ND Hormone Balancing for Women Dr. Melanie MacIver, ND Topics About hormones Benefits of balanced hormones Causes of hormone imbalance Bio-identical hormones Lifestyle and nutrition tips for balance Hormone

More information

Metabolic Assessment Form

Metabolic Assessment Form Metabolic Assessment Form Approach Wellness and Aesthetics 200 Forsythe Street Fayetteville, NC 28303 Office: (910) 322-7368 Fax: (910) 483-5796 www.tawellness.net Name: Age: Sex: Date: Part 1: Please

More information

!!!! Traditional & Contemporary Acupuncture! 19 Golden Ave, Toronto ON! ! Gregory Cockerill, R.

!!!! Traditional & Contemporary Acupuncture! 19 Golden Ave, Toronto ON! ! Gregory Cockerill, R. Traditional & Contemporary Acupuncture 19 Golden Ave, Toronto ON info@livehandacupuncture.com 416-899-3364 Gregory Cockerill, R.Ac First Name: Last Name: Birthdate: Gender: Female Male Address: Email:

More information

CERTIFIED ADVANCED HERBALISM COURSE - SESSION 20: The Urinary System

CERTIFIED ADVANCED HERBALISM COURSE - SESSION 20: The Urinary System CERTIFIED ADVANCED HERBALISM COURSE - SESSION 20: The Urinary System The urinary system filters the blood and removes waste chemicals and excess water from the body. The kidneys, ureters, bladder and urethra

More information

Shiatsu Intake Form PURCHASED PRODUCT/SERVICE. Date of Birth Age Height Weight. Home Address City State ZIP

Shiatsu Intake Form PURCHASED PRODUCT/SERVICE. Date of Birth Age Height Weight. Home Address City State ZIP Shiatsu Intake Form DATE PURCHASED PRODUCT/SERVICE FIRST NAME LAST NAME Date of Birth Age Height Weight Home Address City State ZIP Home Phone Cell Phone Email Name of Emergency Contact Would you like

More information

The Enzyme Deficiency Checklist

The Enzyme Deficiency Checklist The Power of Enzymes Without enzymes you could not exist. Enzymes trigger thousands of call to actions in the body that are necessary for you to survive. The Role of Enzymes If your body was a factory,

More information

Medications/Supplements/Vitamins/Herbs currently taking regularly

Medications/Supplements/Vitamins/Herbs currently taking regularly Consultation Evaluation Name Date of birth E-mail address Phone # What is the main issue that brought you here? Primary Physician Health Insurance HMO?PPO? Last Paps Last Blood Tests Last Mammogram Social

More information

Support Proper Brain and Nervous System Health. July 12, 2011 Hannah Pavick Regional Manager, CA

Support Proper Brain and Nervous System Health. July 12, 2011 Hannah Pavick Regional Manager, CA Support Proper Brain and Nervous System Health July 12, 2011 Hannah Pavick Regional Manager, CA Changes at Home Office! Doug Jensen: Scott Terry: Ray Lambert: Aaron Wengert: Director of Field Sales Sales

More information

Patient Health History for Fertility

Patient Health History for Fertility Patient Health History for Fertility Name: Date: Address: City, State, Zip code Phones: Home Work: Cell: Email address: Date of Birth: Age: Occupation: Emergency contact: Ob/Gyn: Current Medications: What

More information

Welcome! The Glandular System. Rachel Rauch. How the adrenal glands affect the thyroid, pancreas, pituitary, hypothalamus and sex hormones.

Welcome! The Glandular System. Rachel Rauch. How the adrenal glands affect the thyroid, pancreas, pituitary, hypothalamus and sex hormones. Welcome! The Glandular System How the adrenal glands affect the thyroid, pancreas, pituitary, hypothalamus and sex hormones. Rachel Rauch July 9 th, 2013 This NSPWebinar will begin at 11:00 am MDT A recording

More information

Welcome! Type in Your Questions! 7/9/2013. A recording of this webinar will be available at

Welcome! Type in Your Questions! 7/9/2013. A recording of this webinar will be available at Welcome! The Glandular System How the adrenal glands affect the thyroid, pancreas, pituitary, hypothalamus and sex hormones. Rachel Rauch July 9 th, 2013 This NSPWebinar will begin at 11:00 am MDT A recording

More information

Dr Cara Flamer GSH Medical 801 Eglinton Ave West, Suite 100 Toronto, ON

Dr Cara Flamer GSH Medical 801 Eglinton Ave West, Suite 100 Toronto, ON Dr Cara Flamer GSH Medical 801 Eglinton Ave West, Suite 100 Toronto, ON 416-789-2449 Date: Please fill out the following information for your chart profile, and bring it to your first visit (please remember

More information

MenoChat. City State Zip Code. Employer Job Title. Primary Care Provider Phone: History. Desired Outcome:

MenoChat. City State Zip Code. Employer Job Title. Primary Care Provider Phone: History. Desired Outcome: MenoChat Patient Health History Questionnaire Patient Name (last, first, MI): How did you hear of MenoChat? Address City State Zip Code Home Phone #: Cell Phone #: Male or Female Marital Status Email Employer

More information

Medical History Form

Medical History Form Medical History Form Full Name Title: Mr/Mrs/Ms/Miss Address Date of Birth Date Telephone: Mobile: Email: How did you hear about the Garden of health? G.P s Name and Address Are you currently seeing your

More information

New Client Health & Wellness Paper Work

New Client Health & Wellness Paper Work Nutritionally Yours Health Solutions 604 Macy Drive, Roswell GA 30076 678-372-2913 / alanepnd@gmail.com New Client Health & Wellness Paper Work Today's Date Patient Name: _ Parents Name (if patient is

More information

Oriental Medicine Questionnaire

Oriental Medicine Questionnaire Oriental Medicine Questionnaire Date: Name: DOB Sex: M F SS# Address: City State Zip Cell Phone: Home Phone: Business Phone Occupation: Height: Weight: Who referred you to this office? 1.What brought you

More information

Personal Health Evaluation

Personal Health Evaluation Personal Health Evaluation Note: Information provided on this forms will be held in strict confidence. I. Personal Information Name Age Sex Height Weight Eye Color Phone Number or Skype Number you wish

More information

My energy is lower than I would like it to. I feel exhausted after exercising or physical activity.

My energy is lower than I would like it to. I feel exhausted after exercising or physical activity. SYMPTOMS Questionnaire Duplicate your answer across all of the 5 boxes that aren t blocked out. See example ENERGY My energy is lower than I would like it to be. I feel exhausted after exercising or physical

More information

City: State: Zip: Age: Height: Current weight: Weight 6 months ago: Employer: Work #: Ext:

City: State: Zip: Age: Height: Current weight: Weight 6 months ago: Employer: Work #: Ext: 1 Last Name: First Name: Middle Initial: Address: Apartment #: City: State: Zip: Home #: Cell #: Email: How did you find us? Patient (who) : Doctor (who) : Staff (who) : Date of Birth: / / Gender (circle

More information

Master Herbalist Case Study

Master Herbalist Case Study Master Herbalist Case Study Welcome to the project portion of your Master Herbalist diploma program. In order to complete this assignment, please select 3 of the following 10 case studies and (1) describe

More information

ABA Chiropractic Holistic Health Center Nutritional Assessment

ABA Chiropractic Holistic Health Center Nutritional Assessment ABA Chiropractic Holistic Health Center Nutritional Assessment Name: DOB: Age: Social Security # Marital Status: M D S W Employer Occupation: Address: City: Zip: Phone: Alternate phone: Today s date: Emergency

More information

PRNRX COMPOUNDING PHARMACY

PRNRX COMPOUNDING PHARMACY Female Patient Health History Form Complete the following form and mail to: PRNRx LLC, 17755 W. Liberty Lane, New Berlin, WI 53146 Or fax to: 1-855-957-7679 or email to: MichelleK@prnrx.com To provide

More information

Caspian Acupuncture -- Health History Form Anita Tayyebi EAMP, LAc. 652 SW 150 th St Burien WA 98166

Caspian Acupuncture -- Health History Form Anita Tayyebi EAMP, LAc. 652 SW 150 th St Burien WA 98166 Frist Name Last: Date Phone (H) (C) (W) E-mail Address City State Zip Age DOB Place of Birth _ Marital/Partnership Status Preferred Gender Pronoun _ Profession Family Physician Telephone # Referred By

More information

Johanna M. Hoeller, DC PS

Johanna M. Hoeller, DC PS ENTRANCE FORM Birth date: Height: Weight: Emergency Contact: Emergency Contact Phone: ( ) Spouse/Partner or Parent s name: Children s names: Occupation (Your): Employer: Address: City/State/Zip: Phone:

More information

METABOLIC ASSESSMENT FORM

METABOLIC ASSESSMENT FORM METABOLIC ASSESSMENT FORM Name: Age: Sex: Date: PART 1 Please list the 5 major health concerns in your order of importance: 1. 2. 3. 4. 5. PART 2 Please circle the appropriate number 0-3 on all questions

More information

What type of medication, vitamins, minerals, etc. are you currently taking? For how long? What for? (ie: Prilosec/6 months/acid Reflux)

What type of medication, vitamins, minerals, etc. are you currently taking? For how long? What for? (ie: Prilosec/6 months/acid Reflux) What type of medication, vitamins, minerals, etc. are you currently taking? For how long? What for? (ie: Prilosec/6 months/acid Reflux) What previous methods have you tried to alleviate your discomfort

More information

NEW PATIENT HEALTH HISTORY

NEW PATIENT HEALTH HISTORY NEW PATIENT HEALTH HISTORY Debra Joan Wood, Lic Ac, MAcOM Acupuncture and Herbs Please help me provide you with a complete evaluation by taking the time to fill out this questionnaire carefully. If there

More information

All nutrition appointments NOT given 24 hours notice of cancellation will incur a $50 charge.

All nutrition appointments NOT given 24 hours notice of cancellation will incur a $50 charge. Nutritional Counseling Food Sensitivity Testing Neurotransmitter Testing Hormone Testing Wellness & Prevention 111 O Fallon Commons Drive O Fallon, MO 63368 Phone: 636-978-0970 Fax: 636-978-7570 Dr. Olivia

More information

HEALTH EDUCATION CURRICULUM GUIDE

HEALTH EDUCATION CURRICULUM GUIDE GRADE 2 Human Body Revised 6/16 2.1 The student will identify the major body systems, healthy food and beverage choices, emotions, and social skills, and explain how each is connected to personal health.

More information

Patient Health History

Patient Health History Patient Health History Name: Date: Address: City, State, Zip code Phones: Home Work: Cell: Email address: Date of Birth: Age: Occupation: Emergency contact: Referred by: Current Medications: Are you/might

More information

ADDITIONAL GEMS OF WISDOM TO HELP YOU OVERCOME CFIDS, CANDIDIASIS AND FIBROMYALGIA

ADDITIONAL GEMS OF WISDOM TO HELP YOU OVERCOME CFIDS, CANDIDIASIS AND FIBROMYALGIA October 7-8, 2005. Milwaukee, Wisconsin ADDITIONAL GEMS OF WISDOM TO HELP YOU OVERCOME CFIDS, CANDIDIASIS AND FIBROMYALGIA Luis Paez, M.D. CFIDS Severe fatigue Anxiety Brain fog and confusion Prolonged

More information

Your Healing Arthritis Supplement Kit

Your Healing Arthritis Supplement Kit Your Healing Arthritis Supplement Kit Instructions for the full 90-Day Arthritis Program Congrats! You will be receiving Dr. Blum s most highly recommended anti-arthritis supplements in this kit. Here

More information

All product claims should be truthful, not misleading, and should be backed by scientific evidence.

All product claims should be truthful, not misleading, and should be backed by scientific evidence. SHARING YOUNG LIVING the Right Way The U.S. and most other countries have regulations in place designed to protect consumers. Many of these specifically regulate how natural wellness companies like Young

More information

Lymphatic Drainage Massage Client History Form

Lymphatic Drainage Massage Client History Form Lymphatic Drainage Massage Client History Form 1 Please fill out this form as thoroughly as possible. All information is for the purpose of providing massage therapy and will be kept in the strictest confidence.

More information

Name: Date of Birth: Age: Address: City State Zip

Name: Date of Birth: Age: Address: City State Zip Today s Date: Client History Name: Date of Birth: Age: Address: City State Zip Cell Phone: Home Phone: Work Phone: Email Address: Female Male Emergency Contact: Phone Number: How did you hear about us?

More information

Nutrient Assessment Chart

Nutrient Assessment Chart Vitamin A Assessment Chart Chicken skin on backs of arms Chronic acne Dry eyes Food allergies Poor night vision Recurrent infections and colds Reduced hair growth in children Ulcers B Vitamins Afternoon

More information

Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA

Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA 98136 206.200.3595 Today s date Name Legal name (if different) Phone (primary) (secondary) Address City State Zip Email

More information

Acupuncture Health History Page 1 of 5

Acupuncture Health History Page 1 of 5 General Contact Information Acupuncture Health History Page 1 of 5 Name: Date of Birth: Address: City: Postal Code: Contact Numbers#: Home #: Email: (By checking you give David E. Chung Permission to email

More information

! 30 E Padonia Rd, #305, Timonium, MD Phone: (410) Fax: (443)

! 30 E Padonia Rd, #305, Timonium, MD Phone: (410) Fax: (443) ! 30 E Padonia Rd, #305, Timonium, MD 21093 Phone: (410) 560-7404 Fax: (443) 705-0228 Email: info@waynebonliemd.com Today s Date: Patient Information Name: DOB: / / Address: City/Town: State: Zip: Home

More information

Part 1 - Applicators, Gels and Lotions

Part 1 - Applicators, Gels and Lotions Part 1 - Applicators, Gels and Lotions Ultimate Body Applicator: Tightens, tones & firms skin Reduces unsightly fat & cellulite Not water loss Actual fat loss Detoxes the fat layer Natural and very safe

More information

Essential Wellness Of Illinois, LLC Health History Questionnaire Christine A. Renz L.Ac., Dipl OM, MSTOM

Essential Wellness Of Illinois, LLC Health History Questionnaire Christine A. Renz L.Ac., Dipl OM, MSTOM Name Date Address City State Zip Home Phone Cell Fax Email Emergency Contact Emergency Number Date of Birth Age Sex Height Weight Lbs Marital Status Occupation Who referred you to this office? Name of

More information

Client Intake and Health History. Diet, Nutrition and General Health Practices

Client Intake and Health History. Diet, Nutrition and General Health Practices I. Personal Information: Name: Street Address: Date: Phone: City, State, Zip: Referred by: Age and Sex Height Weight Blood Type (if known) (Female Only) (Date and Describe) Last Menstrual Cycle: Have you

More information

ALIGN ACUPUNCTURE AND HERBS LLC Rebekah V. Michaels MAOM, Diplomate OM, Lic Ac

ALIGN ACUPUNCTURE AND HERBS LLC Rebekah V. Michaels MAOM, Diplomate OM, Lic Ac ALIGN ACUPUNCTURE AND HERBS LLC Rebekah V. Michaels MAOM, Diplomate OM, Lic Ac. 617-835-2512 Patient Information and Health History Date: Name: Date of Birth: Street: City: State: Zip: Phone: (H) (W) )

More information

Consultation Intake Form. Name: Age: Sex: M F T Address: Phone: (day) (evening) Birth date: Present physical complaints:

Consultation Intake Form. Name: Age: Sex: M F T Address: Phone: (day) (evening)   Birth date: Present physical complaints: Consultation Intake Form Date: Name: Age: Sex: M F T Address: Phone: (day) (evening) e-mail: Birth date: What would you like help with at this time? Present physical complaints: Onset and length of symptoms:

More information

Healthy Living. with Arbonne

Healthy Living. with Arbonne Healthy Living with Arbonne Did You Know? The #1 killer of men and women in the U.S. is heart disease 2 out of 3 U.S. adults are overweight or obese U.S. adults consume approx. 2-3 lbs. of sugar each week!

More information

Bridges Family Wellness PC. New Patient Intake. Bridges Family Wellness Intake Form SE Lake Rd, Suite 102 Milwaukie, OR

Bridges Family Wellness PC. New Patient Intake. Bridges Family Wellness Intake Form SE Lake Rd, Suite 102 Milwaukie, OR New Patient Intake Bridges Family Wellness Intake Form Full Name: * What is your birthdate? MM/DD/YYYY * What is your gender identity? * Home address: * Cell Phone * Other Phone number(s): Emergency Contact

More information

Natalie Kilheeney L.Ac., Dipl. OM Licensed Acupuncturist & Herbalist

Natalie Kilheeney L.Ac., Dipl. OM Licensed Acupuncturist & Herbalist *All information is important to your intake and valuable to your personal treatment plan. Please answer as thorough as possible. Patient Information: Name: Date: / / (First Middle Last) Address: City:

More information

Patient Information. Marital Status (Single, Married, Life Partner, Divorced, Widowed) CHIEF COMPLAINT

Patient Information. Marital Status (Single, Married, Life Partner, Divorced, Widowed) CHIEF COMPLAINT Patient Information Name Date Home Address City State Zip Phone E-mail Address Cell Phone: Business Address City State Zip Phone Occupation Place of Birth Date of Birth Age Height Weight Soc. Sec. # Sex

More information

Kimberley A. Schroeder, D.O. 115 Baker Drive Tomball, TX

Kimberley A. Schroeder, D.O. 115 Baker Drive Tomball, TX Kimberley A. Schroeder, D.O. 115 Baker Drive Tomball, TX 77375 281.290.0531 www.feelwellagain.com FEMALE MEDICAL QUESTIONNAIRE (POSTMENOPAUSAL) NAME: DATE OF BIRTH: CHIEF COMPLAINT What is your primary

More information

Inner Balance Acupuncture

Inner Balance Acupuncture Patient Information Inner Balance Acupuncture 274 Southland Drive, Suite 101, Lexington, KY 40503 859-595-2164 www.acupunctureky.com Name: Today s date: Age: Male Female Marital status: Date of Birth:

More information

Colon Hydrotherapy Questionnaire

Colon Hydrotherapy Questionnaire Colon Hydrotherapy Questionnaire Full Name: Address: Telephone: Occupation: How did you hear about us? Email: Date of Birth: Please list any conditions for which you are currently being treated: Women

More information

SLIM & CLEANSE 10 DAY PROGRAM

SLIM & CLEANSE 10 DAY PROGRAM SLIM & CLEANSE 10 DAY PROGRAM Your health guide that supports you to reclaim your inner health in 3 easy steps RE HYDRATE CLEANSE FRESH BREAK START SLIM FREE & OF CLEANSE UNHEALTHY 10 DAY PROGRAM HABITS1

More information

What do you believe is causing your most important health concern?

What do you believe is causing your most important health concern? Intake form Name Today s Date Date of Birth Address City Phone Postal Code Email Primary Health Care Provider Emergency Contact Phone Note: By providing your email address you are giving us consent to

More information

205 W Giaconda Way, Suite 135 Tucson, AZ, (520) Name: Birth date: Age: Today s Date:

205 W Giaconda Way, Suite 135 Tucson, AZ, (520) Name: Birth date: Age: Today s Date: 205 W Giaconda Way, Suite 135 Tucson, AZ, 85704 (520) 219-2400 www.forever-able.com info@forever-able.com Name: Birth date: Age: Today s Date: Address: Email: Home phone: Mobile phone: May we add you to

More information

DETOXIFICATION SUPPORT

DETOXIFICATION SUPPORT DETOXIFICATION SUPPORT with Jodi Cohen, NTP, Founder www.vibrantblueoils.com Key Points SUPPORT the detoxification organs BEFORE starting a detoxification program. This includes digestive healing efforts

More information

Think positive, don t worry and thank you. We will get together next month and I have a great surprise for the next Herbal Hour!

Think positive, don t worry and thank you. We will get together next month and I have a great surprise for the next Herbal Hour! October 5, 2009 Hello «First», Well it is here the swine flu. The vaccine came too late (Not that I am recommending it) and it seems that all over our area it is breaking out quickly. Because of this we

More information

Alivia Acupuncture Clinic, LLC. Address. City State Zip. . Occupation Employer. Emergency contact Relationship. Primary Care provider Phone

Alivia Acupuncture Clinic, LLC. Address. City State Zip.  . Occupation Employer. Emergency contact Relationship. Primary Care provider Phone Alivia Acupuncture Clinic, LLC Karla Sourasky Olmos, L. Ac Patient Information Name Age Date of birth Address City State Zip Email Home Phone Work phone Cell Phone Marital Status Single Married Divorced

More information

HEALTH EDUCATION CURRICULUM GUIDE

HEALTH EDUCATION CURRICULUM GUIDE GRADE 2 Human Body 2012 2.1 The student will identify the major body systems and explain their connection to personal health. State Standard Descriptive Statement function of the cardiovascular system.

More information

Patient History Form

Patient History Form Patient History Form Advanced Directive Care Plan? Yes No Name: Birth date: / / Address: Age: Sex: F M STREET DAY YEAR Telephone: Home ( ) CITY STATE DAY YEAR MARITAL STATUS: Divorced Separated Alive/Age

More information

On a scale of 1 10 ("10" being optimal health) please rate where you feel your health is in the the areas below:

On a scale of 1 10 (10 being optimal health) please rate where you feel your health is in the the areas below: Healthcare History djp Pure-Health wellness centre www.pure-health.com Wellness Profile General Health On a scale of 1 10 ("10" being optimal health) please rate where you feel your health is in the the

More information

ABC+D Approach. Kidney Functions. The ph Scale. ABC+D Class with Steven Horne: The Urinary System

ABC+D Approach. Kidney Functions. The ph Scale. ABC+D Class with Steven Horne: The Urinary System ABC+D Approach Session 13: The Urinary System Kidney Functions Removing wastes from the body Balancing water and mineral levels Helping control blood pressure Regulating ph Producing vitamin D Helping

More information

Symptom Questionnaire

Symptom Questionnaire Symptom Questionnaire The following questionnaire is a general assessment of your health developed by Dr Royal Lee D.D.S. Each grouping represents a particular area of your body that may be causing you

More information

Welcome to Education Week!

Welcome to Education Week! Welcome to Education Week! November 2009 From Adolescence to Menopause: Finding Hormonal Harmony Judith Cobb, MH, CI, NCP Alberta, Canada Western Midwest Central Southern North East Ray Lambert Aaron Wengert

More information

Your Healing Arthritis Complete Supplement Kit. STEP ONE: Your Arthritis Essentials Supplements

Your Healing Arthritis Complete Supplement Kit. STEP ONE: Your Arthritis Essentials Supplements Your Healing Arthritis Complete Supplement Kit Instructions for the full 12-Week Arthritis Protocol Congrats! You will be receiving all of Dr. Blum s most highly recommended anti-arthritis supplements

More information

Metabolic Assessment Form Please list your five major health concerns in your order of importance.

Metabolic Assessment Form Please list your five major health concerns in your order of importance. Metabolic Assessment Form Please list your five major health concerns in your order of importance. 1. 2. 3. 4. 5. Please check the appropriate number on all questions below, using zero as least/never to

More information

Coach on Call. Thank you for your interest in Lifestyle Changes as a Treatment Option. I hope you find this tip sheet helpful.

Coach on Call. Thank you for your interest in Lifestyle Changes as a Treatment Option. I hope you find this tip sheet helpful. It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your UPMC Health Plan

More information

Ayurvedic Intake Form

Ayurvedic Intake Form Ayurvedic Intake Form Name: Today s Date Date of birth: Time of birth: Place of birth: Place of childhood: Other Places lived: Current address: Home phone: Work phone: Email address: Occupation: Age: Sex:

More information

McKay Chinese Herbal Medicine & Acupuncture

McKay Chinese Herbal Medicine & Acupuncture McKay Chinese Herbal Medicine & Acupuncture Notice Receipt Acknowledgement ************************************************************************ Purpose: This form is used to confirm that an individual

More information

HORMONAL LEVELS SELF TEST. Date Full Name No.

HORMONAL LEVELS SELF TEST. Date Full Name No. HORMONAL LEVELS SELF TEST Date Full Name No. This self-test to help your doctor if your levels of hormones are below normal. Circle the score for each line then total the score at the bottom of each hormone.

More information

Current Health Profile Please total scores on all pages and write the total at the end before

Current Health Profile Please total scores on all pages and write the total at the end before Name Date: Current Health Profile We ask these questions in order to locate potential causes of your current health problems. We are not here to judge you. Your honest answers will give us the ability

More information

STRESS AND THE HEALTH OF THE BODY

STRESS AND THE HEALTH OF THE BODY Slide 1 STRESS AND THE HEALTH OF THE BODY Slide 2 What is Stress It is a physical response that occurs in our body when we are stressed Physiologically, it is a series of actions in the body that are regulated

More information

Lucas D. Brown, L.Ac. (312)

Lucas D. Brown, L.Ac. (312) Today s date: Mr. Miss Mrs. Ms. Dr. Birth date: (mm/dd/yy) Social Security Number: First name: Last name: Age: Email: Marital status: Single Divorced Married Separated Partner Widowed Street address: Apt:

More information

Featured Topic: Boswellia for IBS (4 slides)

Featured Topic: Boswellia for IBS (4 slides) Featured Topic: Boswellia for IBS (4 slides) IBS and 5-LOX Question: What do diseases including asthma, rheumatoid arthritis, and irritable bowel (IBS) have in common? Answer: Inflammation. Especially

More information

Welcome to Juvenile Rheumatoid Arthritis or JRA, by Connie Martin, MS, RDN; Claire Stephens, MS, RDN; and Lolita McLean, MPH, RDN...

Welcome to Juvenile Rheumatoid Arthritis or JRA, by Connie Martin, MS, RDN; Claire Stephens, MS, RDN; and Lolita McLean, MPH, RDN... Welcome to Juvenile Rheumatoid Arthritis or JRA, by Connie Martin, MS, RDN; Claire Stephens, MS, RDN; and Lolita McLean, MPH, RDN...all of Alabama s Children s Rehabilitation Service, part of the Alabama

More information

Questionnaire for Lipedema Patients

Questionnaire for Lipedema Patients Questionnaire for Lipedema Patients Name Date of diagnosis Date Name of physician making diagnosis Do you also have lymphedema? What areas of the body are affected? Outside of thighs Inner thighs Knees

More information

Welcome to Education Week!

Welcome to Education Week! Welcome to Education Week! Digestive Dilemmas How to improve your body from the inside out Kay Lubecke, B.A., M.S. May 5, 2009 Kay Lubecke, B.A., M.S. National Manager, AZ Author of Recipes for Success

More information

STRESS AND YOUR ADRENAL HEALTH

STRESS AND YOUR ADRENAL HEALTH STRESS AND YOUR ADRENAL HEALTH by Karen Jensen, (Retired ND) Scientists know that stress is a serious problem. Research conducted by the Center for Disease Control and Prevention indicates that up to 90%

More information

Health History Questionnaire

Health History Questionnaire CLINICAL ACUPUNCTURE SERVICES Cathy D. Adelman, RN, LAc PO Box 91451 Tucson, AZ 85752-1451 (520) 822-6844 cdarnlac@hughes.net www.clinicalacupunctureservices.com Health History Questionnaire I. GENERAL

More information

Address Street Address City State Zip Code. Address Street Address City State Zip Code

Address Street Address City State Zip Code. Address Street Address City State Zip Code Male Initial Visit Intake Form PATIENT INFORMATION Today s Date Last Name Mid Initial First Name Date of Birth Address Home Phone Social Security Number Street Address City State Zip Code Cell Phone E-mail

More information

Featured Topic: Get Digestive Relief (and more) with Probiotics (4 slides)

Featured Topic: Get Digestive Relief (and more) with Probiotics (4 slides) Featured Topic: Get Digestive Relief (and more) with Probiotics (4 slides) 3 things you need to know about probiotics Probiotics are helpful bacteria Probiotics prevent disease, they don t cause it (bad

More information

Omega 3. Kosher and manufactured under the supervision of Badatz Edah Hacharedit

Omega 3. Kosher and manufactured under the supervision of Badatz Edah Hacharedit Omega 3 These Omega 3 Fatty Acids are essential; our body does not produce them, therefore it must receive them from the food and from nutritional supplements. They are necessary for the optimal functioning

More information

HEALTH SURVEY. This is a health survey designed to help you assess where you are; recognition is well on the way to healing.

HEALTH SURVEY. This is a health survey designed to help you assess where you are; recognition is well on the way to healing. HEALTH SURVEY This is a health survey designed to help you assess where you are; recognition is well on the way to healing. PLEASE BRING THIS FORM BACK WITH YOU EACH TIME. I do not diagnose or treat any

More information

Sun Ancon total Enzymes

Sun Ancon total Enzymes Sun Ancon total Enzymes Enzymes Enzymes regulate the normal processes of digestion, absorption, detoxification, blood circulation, balance our body PH and waste removal all essential to the very functions

More information

Waccamaw Chiropractic & Wellness Center

Waccamaw Chiropractic & Wellness Center Waccamaw Chiropractic & Wellness Center Dr. John Evans Dr. Jeff Evans 658 Wachesaw Rd. Murrells Inlet, SC 29576 www. waccamawchiropractic.com (843)357-9617 Fax (843)357-9639 DO YOU HAVE ADRENAL FATIGUE?

More information

FibromyalgiaHope.com s Nutritional Assessment

FibromyalgiaHope.com s Nutritional Assessment FibromyalgiaHope.com s Nutritional Assessment Print the Assessment. Check any symptoms that apply to you. The more checks under a category, the more you may benefit from the nutrient or supplement that

More information

CHIROPRACTIC PLUS Phone: (616) Dr. Daniel Ohlman Fax: (616) Applied Kinesiology

CHIROPRACTIC PLUS Phone: (616) Dr. Daniel Ohlman Fax: (616) Applied Kinesiology CHIROPRACTIC PLUS Phone: (616) 791-9702 Dr. Daniel Ohlman Fax: (616)-791-4661 Applied Kinesiology 0-699 Tallmadge Woods Dr. N.W. Grand Rapids, Mi 49534 Date: Name: Date of Birth: Age: Preferred Name to

More information

55 S. Main Street, Driggs, ID (208)

55 S. Main Street, Driggs, ID (208) Elements of Health 55 S. Main Street, Driggs, ID 83422 (208) 920-0312 Name: (first) (middle) (last) Date: / / Address: Phone: / street address city zipcode home / cell Date of Birth: / / Age: Gender: M/F

More information

Life Strength & Health Holistic HEALTH HISTORY INTAKE FORM

Life Strength & Health Holistic HEALTH HISTORY INTAKE FORM Life Strength & Health Holistic HEALTH HISTORY INTAKE FORM Name: Date: Address: Town/City: State: Zip Code: Home Phone: Work Phone: Mobil/Pager: Email: Occupation: Employer: DOB: Sex: Marital Status: Spouse's

More information

NEW PATIENT QUESTIONNAIRE

NEW PATIENT QUESTIONNAIRE Consultant Name: NEW PATIENT QUESTIONNAIRE Health Care Analysis CONGRATULATIONS! You ve taken an important step in your commitment to managing your weight. We look forward to working with you. Our Program

More information

Placer Private Physicians: Patient Health Questionnaire [2]

Placer Private Physicians: Patient Health Questionnaire [2] Dr.Br own 7. Do you feel you eat a healthy diet? 8. Please describe why or why not? 9. Do you exercise regularly? Yes No 10. If yes, what type of exercises and how many days per week? 11. Have you ever

More information

THE MANY SYMPTOMS ROOTED IN HORMONE IMBALANCES

THE MANY SYMPTOMS ROOTED IN HORMONE IMBALANCES abdominal pain acne aging process accelerated allergies, including asthma, hives, rashes, sinus congestion anemia (blood hemoglobin low) anorexia anovulatory (no ovulation) anxiety anxious depression appetite

More information

How to Test ph. ABC+D Approach. Kidney Functions. The ph Scale. Testing Your ph. Saliva ph. ABC+D Class with Steven Horne: The Urinary System

How to Test ph. ABC+D Approach. Kidney Functions. The ph Scale. Testing Your ph. Saliva ph. ABC+D Class with Steven Horne: The Urinary System ABC+D Approach Session 13: The Urinary System Kidney Functions Removing wastes from the body Balancing water and mineral levels Helping control blood pressure Regulating ph Producing vitamin D Helping

More information