Patient Forms

Below are the forms patients are to complete prior to their first appointment with a registered dietitian.  Please complete them in advance and bring them to your first appointment.  There is no need to bring our HIPAA policy.  It is below for your reference.

We highly recommend  that you call your insurance company prior to your initial visit to verify your benefits for “nutritional counseling”.  If you need a referral to see a specialist, please get one from your primary care physician.

Our office is located at 24 Stelton Road, Suite D, Piscataway, NJ 08854.  It is a brick building with a green Quest Diagnostics sign on it and is between the Piscataway Funeral Home and USPS.  When you walk in, take the stairs or elevator to the second floor and we are the door on the right.

In an effort to respect your time, no appointments are double booked.  We ask that you please respect our time and the time of other patients who may want the same appointment time.  Please contact us by call, text, or e-mail if you have to cancel your appointment at (732) 395-1282 or appointment@shsnutrition.com.

Documents:

Adult (English)

Pediatric (English)

Adulto (Español)

Pediátrico (Español)

SHS Nutrition, LLC – HIPAA (English)