Intake Form for Healing Menu Plans on B.E.D.

#1 This form is to receive a menu plan customized to your unique health and dietary needs while on The Body Ecology Diet (B.E.D.).

#2 Based on information you provide, I will customize a menu plan. Once complete, I will schedule a time to meet by phone or Skype to review plan and make necessary adjustments.

#3 Make payment here with personal check or major credit card (don’t need PayPal account).