Nutrition Counseling Agreement
About this free form template

Streamline Your Nutrition Practice with a Professional Counseling Agreement

Running a successful nutrition counseling practice requires more than just expertise in diet and wellness—it demands clear communication, proper documentation, and efficient client onboarding. This Nutrition Counseling Agreement template is designed specifically for dietitians, nutritionists, and wellness coaches who want to establish professional relationships with clients while covering all the essential legal and operational details.

Why Your Nutrition Practice Needs a Digital Agreement Form

Traditional paper agreements create unnecessary friction in the client onboarding process. Clients have to print, sign, scan, and email documents back—or worse, bring them to their first appointment, eating into valuable consultation time. With Paperform's nutrition counseling agreement template, you can:

  • Onboard clients faster with forms that can be completed on any device, anytime
  • Collect dietary assessments alongside agreement signatures in one seamless flow
  • Automatically process payments for initial consultations or program fees
  • Maintain professional records with all client information organized in one place
  • Reduce no-shows by clearly communicating cancellation policies upfront

What's Included in This Nutrition Counseling Agreement

This template covers everything you need to establish a clear, professional relationship with nutrition clients:

Client Information & Contact Details: Capture comprehensive client data including emergency contacts, which is essential for healthcare providers.

Dietary Assessment & Health History: Gather detailed information about current eating habits, dietary restrictions, allergies, health conditions, and nutrition goals—all before the first session, so you can hit the ground running.

Service Selection & Meal Planning Preferences: Let clients choose from different counseling packages (initial consultation, ongoing support, meal planning services) and indicate their dietary preferences, cooking skill level, and lifestyle factors that affect meal planning.

Insurance Coverage Information: Collect insurance details if you accept coverage, including policy numbers and primary care physician information for potential referrals or coordination of care.

Follow-Up Schedule & Commitment: Establish expectations for follow-up sessions, check-ins, and client responsibilities between appointments.

Payment Terms & Fees: Clearly outline your fee structure, accepted payment methods, late payment policies, and any package pricing—with optional integrated payment collection through Stripe, PayPal, or Square.

Cancellation & Rescheduling Policy: Protect your time and business by documenting your cancellation notice requirements, no-show fees, and rescheduling procedures.

Professional Scope & Disclaimers: Set appropriate boundaries by clarifying the scope of nutrition counseling services, noting that you're not providing medical diagnosis or treatment, and including necessary liability protections.

Agreement & Consent: Collect client acknowledgment and electronic signature on all terms, creating a legally sound agreement.

How Nutrition Professionals Use This Template

Registered Dietitians use this form to onboard new clients for medical nutrition therapy, gathering health history and insurance information while establishing clear professional boundaries between nutrition counseling and medical diagnosis.

Holistic Nutritionists & Health Coaches customize the form to reflect their coaching philosophy, add questions about lifestyle factors, stress levels, and wellness goals, and use it to set expectations for a collaborative coaching relationship.

Sports Nutritionists adapt the template to include questions about training schedules, performance goals, supplement use, and body composition objectives, while collecting waivers specific to athletic populations.

Private Practice Owners integrate the form directly into their website, allowing prospective clients to complete intake paperwork before the first appointment, dramatically reducing administrative time and improving the first-session experience.

Wellness Centers & Integrative Clinics use the form as part of a broader intake process, connecting it via Stepper to their practice management software, CRM, and calendar systems to create a seamless onboarding workflow.

Automate Your Nutrition Practice Workflow

Once you've collected a completed nutrition counseling agreement, the real power comes from automation. With Stepper (stepper.io), Paperform's AI-native workflow builder, you can:

  • Automatically send confirmation emails with pre-appointment instructions and food diary templates
  • Add clients to your nutrition practice management software or CRM
  • Schedule follow-up appointments directly in your calendar system
  • Trigger different email sequences based on the service package selected
  • Send the completed agreement to Papersign (papersign.com) if you need additional signature workflows or want clients to receive a fully executed copy with your signature as well
  • Update your accounting software with payment and billing information
  • Set reminders for client check-ins based on their follow-up schedule

This level of automation means you can focus on what you do best—helping clients achieve their nutrition and wellness goals—while the administrative details take care of themselves.

Compliance, Security & Professional Standards

When handling client health information, security and compliance matter. Paperform is SOC 2 Type II compliant and GDPR compliant, ensuring client data is protected with enterprise-grade security. While Paperform is not HIPAA compliant, it's suitable for general nutrition counseling practices that don't require HIPAA-level protections for protected health information (PHI).

All client agreements and dietary assessments are securely stored, easily searchable, and accessible whenever you need to review client history or prepare for follow-up sessions. You can also export data to maintain your own records or integrate with practice management systems.

Designed for Your Brand, Your Practice

This template is fully customizable to match your nutrition practice brand. Adjust the colors, fonts, and layout to reflect your professional identity. Add your logo, include photos of healthy meals or your counseling space, and write your policies in your own voice. The form can be embedded directly on your website or shared as a standalone link.

Whether you're a newly certified nutritionist launching your first private practice or an established dietitian looking to modernize your client onboarding process, this Nutrition Counseling Agreement template provides a professional, efficient, and client-friendly foundation for your practice.

Get Started in Minutes

This template is ready to use out of the box, but flexible enough to adapt to your unique practice needs. Simply customize the questions, add your specific policies and fee structures, connect your payment processor, and share with clients. Most nutrition professionals have their personalized version up and running in under 30 minutes.

Start building stronger, clearer client relationships from the very first interaction with a professional nutrition counseling agreement that works as hard as you do.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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