Client Intake Form

Welcome to Optimal Wellness and Nutrition Services

Thank you for taking the time to complete this intake form. Your responses will help Dr. Gina Lynem-Walker better understand your health goals, lifestyle, and unique needs. This information enables us to create a personalized wellness plan tailored to your specific needs. Please answer each question as honestly and completely as possible—there are no right or wrong answers. Together, we’ll use this information to design a roadmap that supports your journey toward optimal health and lasting wellness.