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Patient Details


Primary Care


North Shore Nutrition Consultants, LLC does not accept insurance, but can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage.

A Superbill will be provided after your visit. A Superbill is not a guarantee of reimbursement for a client. The ability of a health plan member to obtain reimbursement from a health plan is dependent on individual member benefits and coverage for medical nutrition therapy as well as health plan policies regarding member reimbursement.


Appointment fees are required to be paid at each visit. Credit cards, FSA Cards and cash are accepted.

If I fail to show up for my scheduled appointment or cancel my appointment within 24 hours of the appointment, I understand that I will be charged a “no show” fee of $90. I understand that if I am late to my appointment, I will forfeit the missed time. If I am more than 15 minutes late to my appointment, it will be considered a “no show”.

I understand that I am working with North Shore Nutrition Consultants, LLC to obtain medical based nutrition therapy information and counseling. This information supports my own efforts in nutrition, diet and behavior for my personal health and wellbeing. I understand that nutrition counseling is not a substitute for diagnosis, treatment or care of a disease by a physician.

I give permission to North Shore Nutrition Consultants, LLC to leave a voice mail to the numbers I have listed as well as permission to contact me at my provided email address.

I have read North Shore Nutrition Consultants, LLC’s office policies and agree to the terms.