Welcome! Congratulations on taking this step toward supporting your health with nutrition during your cancer treatment and beyond. I hope you have had a chance to browse through this site to learn more about our services. Changing your diet and taking supplements requires a commitment and effort on your part. If you are willing to make that effort, we will be a great team (click here to learn more). Our goal will be to educate and empower you to support your innate healing capacity using nourishing foods, healing herbs, and dietary supplements appropriate for your needs.

Below you will find the intake forms you'll need to submit in order to become a client. Print the PDF file (click here if you need help downloading/printing the PDF files) or use Adobe Reader (https://get.adobe.com/reader/) to fill out the forms electronically. Click the "Fill & Sign" tab to add text, place checkmarks and provide your electronic signature.

Intake packet for clients with brain tumors
Intake packet for clients with breast cancer
Intake packet for clients with colorectal, pancreatic, ovarian, gynecological (endometrial, uterine, cervical), head-and-neck cancers (including oral, salivary, nasopharyngeal and esophageal) or melanoma
Intake packet for clients with all other cancer types

Send your completed intake packet—along with a photograph of yourself, pre- or post-diagnosis— to us:

MAIL:Nutritional Solutions, 1697 East 3450 North, North Logan, UT 84341 USA
FAX: (435) 538-8058
EMAIL: This email address is being protected from spambots. You need JavaScript enabled to view it.

When we have received your completed intake forms, we will mail you a packet including my comprehensive report of foods, diet practices and supplements that have published studies supporting their usefulness for your type of cancer. During our telephone consultations, we will review the research with you, discuss how you can implement a personalized protocol and answer any questions you may have.

Follow-up appointments can be scheduled as needed to monitor your progress. We offer consulting by phone, fax, email or Skype.

Please call us if you have any questions about these materials or the intake process. Office hours are Monday-Thursday 9am-5pm Mountain Time (USA). We look forward to working with you, and we wish the best in your healing journey.

Sincerely,
Jeanne M. Wallace, PhD, CNC
Michelle Gerencser, MS

Copyright 2016. All Rights Reserved