Forms

Please read and fill out the following forms and return them to Nutrition Works 48 hours prior to your appointment unless you have been instructed to do otherwise. Forms can be returned by email: sandra@smartnutritionworks.com. Thank you!.

Initial LEAP Intake Form v.1-18.docx

Patient Health History Form

Patient Health History Form

Initial LEAP Intake Form v.1-18.docx

Acknowledgment of Receipt of HIPAA Notice of Privacy Practices

Initial LEAP Intake Form v.1-18.docx

Nutrition Works Cancellation Policy

Initial LEAP Intake Form v.1-18.docx

NW HIPAA Notice of Privacy Practices (read only)

Initial LEAP Intake Form v.1-18.docx

Initial Symptom Survey

Resources

Pinterest (recipes, products)
Academy of Nutrition and Dietetics
Shelley Case, RD | North America's Gluten-Free Nutrition Expert

This gallery of photos includes LEAP friendly products that are safe to include and fit within the guidelines, depending on your current list of safe foods.

Supplements

I want to help my clients make the best choices when it comes to supplements. There is no point in taking something that your body can't use. Contact Nutrition Works today for expert recommendations on quality supplements and simple online ordering information.

MegaSporeBiotic (a high quality probiotic) and MegaQuinone (Vit K2-7) from Microbiome Labs can be purchased online at www.microbiomelabs.com. Please contact me if you are interested in purchasing either of these products. You will need to enter a specific code when asked if you are working with a healthcare provider.

GI Distress, IBS, & IBD

GI Distress, IBS, & IBD

IBS, Chronic Sinusitis, Overweight

Thank you so much for all of your assistance with the LEAP program. The last 3 months have been life changing.
I have suffered from inflammation related issues (IBS, Chronic Sinusitis, joint pain, headaches, fatigue and difficulty losing weight) for years. Years of medical testing and taking countless medications had resulted in fleeting periods of relief and very little overall change. I was told by many doctors that I was perfectly healthy. I was left feeling depressed and helpless. After researching the impact of food sensitivities on thyroid functioning and hormones, I came across MRT testing and the LEAP protocol. Fortunately, I quickly found Sandra's information online. Desperate for the answers that I have been searching for over the past 20 years, I jumped at the chance to get started. After receiving my MRT test results I sat down with Sandra to review my beginning stages of the LEAP diet protocol. I was surprised to find that I had reacted mostly to food colorings and additives. I also had reacted to many foods that I had viewed as healthy (carrots, celery, beets, pineapple). Sandra helped me to go through the list of foods that I could eat during each stage of the plan. I was nervous and skeptical. Could I stick to this restricted list of "safe" foods? Would this really be any different than every other diet or supplements that I had tried?

The first couple of days were very tough. I was faced with temptations daily and planning for each meal was time consuming. Within a week, I started to notice improvements in my headaches and intestinal pain. In addition to the improvements in my health, I was losing weight. I could not believe that I was losing weight while still eating potatoes, milk and cheese. With each stage of the program I was able to add in more foods. My cravings for foods that I was not supposed to be eating dissipated. I suddenly had more energy than I have had in years. I stopped taking the daily antihistamine that I had been taking for years and I was shocked to see that my sinus issues did not return. Over the past 3 months I have seen my inflammation related symptoms almost completely disappear. Now, when I experience a headache, bloating or congestion, I can easily tie it to a new food in my diet or pinpoint the environmental factor (dust, stress) if I know that I have been sticking to my food plan. I have lost almost 15 pounds in 3 months. I consider the weight loss to be a bonus, with the improvements in my overall health and wellbeing being the ultimate prize. After only 3 months, I look at food in a completely new way. I am much more careful to avoid processed foods, I am more diligent about reading food labels, I realize that certain foods were putting too much strain on my immune system, and I now eat foods that help my body function at it best.

Thank you again for your guidance and for giving me to tools to enjoy my life again!

~B.D.

IBS, Chronic Sinusitis, Overweight

Thank you so much for all of your assistance with the LEAP program. The last 3 months have been life changing.
I have suffered from inflammation related issues (IBS, Chronic Sinusitis, joint pain, headaches, fatigue and difficulty losing weight) for years. Years of medical testing and taking countless medications had resulted in fleeting periods of relief and very little overall change. I was told by many doctors that I was perfectly healthy. I was left feeling depressed and helpless. After researching the impact of food sensitivities on thyroid functioning and hormones, I came across MRT testing and the LEAP protocol. Fortunately, I quickly found Sandra's information online. Desperate for the answers that I have been searching for over the past 20 years, I jumped at the chance to get started. After receiving my MRT test results I sat down with Sandra to review my beginning stages of the LEAP diet protocol. I was surprised to find that I had reacted mostly to food colorings and additives. I also had reacted to many foods that I had viewed as healthy (carrots, celery, beets, pineapple). Sandra helped me to go through the list of foods that I could eat during each stage of the plan. I was nervous and skeptical. Could I stick to this restricted list of "safe" foods? Would this really be any different than every other diet or supplements that I had tried?

The first couple of days were very tough. I was faced with temptations daily and planning for each meal was time consuming. Within a week, I started to notice improvements in my headaches and intestinal pain. In addition to the improvements in my health, I was losing weight. I could not believe that I was losing weight while still eating potatoes, milk and cheese. With each stage of the program I was able to add in more foods. My cravings for foods that I was not supposed to be eating dissipated. I suddenly had more energy than I have had in years. I stopped taking the daily antihistamine that I had been taking for years and I was shocked to see that my sinus issues did not return. Over the past 3 months I have seen my inflammation related symptoms almost completely disappear. Now, when I experience a headache, bloating or congestion, I can easily tie it to a new food in my diet or pinpoint the environmental factor (dust, stress) if I know that I have been sticking to my food plan. I have lost almost 15 pounds in 3 months. I consider the weight loss to be a bonus, with the improvements in my overall health and wellbeing being the ultimate prize. After only 3 months, I look at food in a completely new way. I am much more careful to avoid processed foods, I am more diligent about reading food labels, I realize that certain foods were putting too much strain on my immune system, and I now eat foods that help my body function at it best.

Thank you again for your guidance and for giving me to tools to enjoy my life again!

~B.D.

GI Distress, IBS, & IBD

GI Distress, IBS, & IBD

IBS, Chronic Sinusitis, Overweight

Thank you so much for all of your assistance with the LEAP program. The last 3 months have been life changing.
I have suffered from inflammation related issues (IBS, Chronic Sinusitis, joint pain, headaches, fatigue and difficulty losing weight) for years. Years of medical testing and taking countless medications had resulted in fleeting periods of relief and very little overall change. I was told by many doctors that I was perfectly healthy. I was left feeling depressed and helpless. After researching the impact of food sensitivities on thyroid functioning and hormones, I came across MRT testing and the LEAP protocol. Fortunately, I quickly found Sandra's information online. Desperate for the answers that I have been searching for over the past 20 years, I jumped at the chance to get started. After receiving my MRT test results I sat down with Sandra to review my beginning stages of the LEAP diet protocol. I was surprised to find that I had reacted mostly to food colorings and additives. I also had reacted to many foods that I had viewed as healthy (carrots, celery, beets, pineapple). Sandra helped me to go through the list of foods that I could eat during each stage of the plan. I was nervous and skeptical. Could I stick to this restricted list of "safe" foods? Would this really be any different than every other diet or supplements that I had tried?

The first couple of days were very tough. I was faced with temptations daily and planning for each meal was time consuming. Within a week, I started to notice improvements in my headaches and intestinal pain. In addition to the improvements in my health, I was losing weight. I could not believe that I was losing weight while still eating potatoes, milk and cheese. With each stage of the program I was able to add in more foods. My cravings for foods that I was not supposed to be eating dissipated. I suddenly had more energy than I have had in years. I stopped taking the daily antihistamine that I had been taking for years and I was shocked to see that my sinus issues did not return. Over the past 3 months I have seen my inflammation related symptoms almost completely disappear. Now, when I experience a headache, bloating or congestion, I can easily tie it to a new food in my diet or pinpoint the environmental factor (dust, stress) if I know that I have been sticking to my food plan. I have lost almost 15 pounds in 3 months. I consider the weight loss to be a bonus, with the improvements in my overall health and wellbeing being the ultimate prize. After only 3 months, I look at food in a completely new way. I am much more careful to avoid processed foods, I am more diligent about reading food labels, I realize that certain foods were putting too much strain on my immune system, and I now eat foods that help my body function at it best.

Thank you again for your guidance and for giving me to tools to enjoy my life again!

~B.D.

IBS, Chronic Sinusitis, Overweight

Thank you so much for all of your assistance with the LEAP program. The last 3 months have been life changing.
I have suffered from inflammation related issues (IBS, Chronic Sinusitis, joint pain, headaches, fatigue and difficulty losing weight) for years. Years of medical testing and taking countless medications had resulted in fleeting periods of relief and very little overall change. I was told by many doctors that I was perfectly healthy. I was left feeling depressed and helpless. After researching the impact of food sensitivities on thyroid functioning and hormones, I came across MRT testing and the LEAP protocol. Fortunately, I quickly found Sandra's information online. Desperate for the answers that I have been searching for over the past 20 years, I jumped at the chance to get started. After receiving my MRT test results I sat down with Sandra to review my beginning stages of the LEAP diet protocol. I was surprised to find that I had reacted mostly to food colorings and additives. I also had reacted to many foods that I had viewed as healthy (carrots, celery, beets, pineapple). Sandra helped me to go through the list of foods that I could eat during each stage of the plan. I was nervous and skeptical. Could I stick to this restricted list of "safe" foods? Would this really be any different than every other diet or supplements that I had tried?

The first couple of days were very tough. I was faced with temptations daily and planning for each meal was time consuming. Within a week, I started to notice improvements in my headaches and intestinal pain. In addition to the improvements in my health, I was losing weight. I could not believe that I was losing weight while still eating potatoes, milk and cheese. With each stage of the program I was able to add in more foods. My cravings for foods that I was not supposed to be eating dissipated. I suddenly had more energy than I have had in years. I stopped taking the daily antihistamine that I had been taking for years and I was shocked to see that my sinus issues did not return. Over the past 3 months I have seen my inflammation related symptoms almost completely disappear. Now, when I experience a headache, bloating or congestion, I can easily tie it to a new food in my diet or pinpoint the environmental factor (dust, stress) if I know that I have been sticking to my food plan. I have lost almost 15 pounds in 3 months. I consider the weight loss to be a bonus, with the improvements in my overall health and wellbeing being the ultimate prize. After only 3 months, I look at food in a completely new way. I am much more careful to avoid processed foods, I am more diligent about reading food labels, I realize that certain foods were putting too much strain on my immune system, and I now eat foods that help my body function at it best.

Thank you again for your guidance and for giving me to tools to enjoy my life again!

~B.D.

Migraines and Headaches

Migraines and Headaches

Migraines and Headaches

Migraines

I have been a migraine sufferer for almost 14 years now and they became progressively worse after the birth of my son in 2011. I knew that I did not want to take a daily prescription, but wanted to find a more natural solution to my problem. After meeting with Sandra and discovering my food sensitivities at the time, my migraines quickly faded and only came back if I got off track. It has been almost a year later since I started the diet and I am now able to eat almost all of the foods I was once sensitive to with no issues! Thanks so much Sandra for helping this girl get healthy and get her life back! I can now enjoy spending more time with my family!

-S.H.

Migraines

I have been a migraine sufferer for almost 14 years now and they became progressively worse after the birth of my son in 2011. I knew that I did not want to take a daily prescription, but wanted to find a more natural solution to my problem. After meeting with Sandra and discovering my food sensitivities at the time, my migraines quickly faded and only came back if I got off track. It has been almost a year later since I started the diet and I am now able to eat almost all of the foods I was once sensitive to with no issues! Thanks so much Sandra for helping this girl get healthy and get her life back! I can now enjoy spending more time with my family!

-S.H.

Migraines

I have been a migraine sufferer for almost 14 years now and they became progressively worse after the birth of my son in 2011. I knew that I did not want to take a daily prescription, but wanted to find a more natural solution to my problem. After meeting with Sandra and discovering my food sensitivities at the time, my migraines quickly faded and only came back if I got off track. It has been almost a year later since I started the diet and I am now able to eat almost all of the foods I was once sensitive to with no issues! Thanks so much Sandra for helping this girl get healthy and get her life back! I can now enjoy spending more time with my family!

-S.H.

Sandra Meyerowitz, MPH, RD, LD, CLT