Patient forms

Download & complete ahead of time

Download the forms you need, complete them at your convenience, and bring them to your visit. Referring providers can use the MNT referral form below and fax to Ruth.

  • MNT Referral Form

    For referring providers — download, complete, and return to Dolphin Health.

    Download PDF
  • MNT Referral Form (Word)

    Editable Word version of the MNT referral form.

    Download Word
  • New Patient Intake

    Share your health history before your first visit.

    Download PDF
  • Nutrition History

    A snapshot of your usual eating patterns and goals.

    Download PDF
  • Consent & Privacy

    Review privacy practices and care consent details.

    Download PDF
  • Private Practice Resources

    Additional private practice documents and resources.

    Open link