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Elina Stanley is certified Holistic Nutrition Consultant. 
Also currently working on her Master's Degree in Clinical Nutrition at Kingdom College of Natural Health. Ms.Stanley consults in the Washington DC area with individual clients about nutritional needs of children, women and men of any age and any health point. As well as educating about how to improve your life style towards optimum health through the right nutrition, stress management, exercise program and how to create a healthy environment for yourself and your family.

Healthy living has been Ms. Stanley’s passion and a way of life that translates into every aspect of her life. Formerly a lawyer in the Republic of Moldova, after moving to the United States she’s instead pursued her passion and desire to learn and share the knowledge of Healthy Nutrition by consulting others of the positive effects of best nutritional practice as well as maintaining a healthy mind and body.
  


 

Pediatric Information Form:

Name of the child
Address
Apt#
City
State
Home Phone
Cell#
E-mail address
Reffered By
Date of Birth
Age
Sex
Height
Weight
Overall Health
Other
Indicate the most immediate concerns for you
What do you think could be causing your child’s symptoms?
Previous treatment for this complaint
Current medications given
Nutritional supplements/ vitamins given
Any family history of serious illnesses:
Any household pets or other animals your child or family members are in close contact with
List all allergies and sensitivities
Number of meals eaten per day
List the primary foods included in the child’s diet
List the foods excluded from the diet
How open are you to changes in lifestyle to address you child’s concerns?