Free client intake form for dietitians
A free client intake form for dietitians and nutritionists covering personal details, goals, diet pattern (veg, egg, non-veg, Jain), dislikes, allergies, medical conditions, medicines, lab reports, lifestyle and preferred language. Download it as Word or PDF.
By the mealPlan.fit team · Last updated 16 October 2026
Free to use with your clients. No email or signup. Word 2 KB · PDF 4 KB
What’s inside
- Personal details, goals and past diets
- Diet pattern, dislikes, allergies, fasting days and who cooks
- A “typical day of eating” recall table
- Health, medicines, digestion, women’s health and labs to attach
- Lifestyle (activity, sleep, stress, water) and a consent line
How to use it
- Send it before the first consultation so the client can fill it in at home.
- Ask them to attach recent lab reports.
- Go through the answers together in the first call and note anything to follow up.
Want this done for you? In mealPlan.fit, nutrients are calculated from IFCT data as you build, the plan goes out as a PDF with your logo on WhatsApp, and every client’s history stays in one place. See how it compares with a spreadsheet.
Questions
Is this intake form medical advice?
No, it only collects background for a nutrition consultation and doesn’t replace a doctor’s assessment.
Can clients fill it in on their phone?
The Word file works on phones with Word or Google Docs; in mealPlan.fit clients fill a mobile enrollment form instead and the answers go straight into their profile.
What should I ask in a nutrition intake?
Goals, diet pattern, foods they avoid, allergies, medical conditions, medicines, recent labs, activity, sleep, water and eating-out habits, and their preferred language.
Related
See it with your own clients
A short demo on WhatsApp, then we set up your account with you.