Initial Intake Form: Polycystic Kidney Disease for Practice Better

Are you looking for a more PKD-specific intake process for your clients with Polycystic Kidney Disease?

You know PKD is different than CKD but aren’t sure where to start…

You can start with my done-for-you intake form!

As the leading expert in Nutrition for PKD, this is the exact Initial Intake Form I send to onboarding clients.

An all-too-common struggle for people with Polycystic Kidney Disease (PKD) is that they are treated for, and given dietary recommendations as if they only have CKD.  How we approach working with PKD Clients, the questions we ask, and the PKD-specific insights we explore are key to good care and positive outcomes.

New clients of mine have said they felt “heard”, and relieved, just after filling out their initial forms. Why?  Because they are PKD-specific, ask questions related to their risk and stressors, and show knowledge of and insight into PKD concerns!

FORM HIGHLIGHTS

• Questions specific to PKD
• Medical Information checklist with a PKD risk factor focus
• Exploration of physical signs/symptoms associated with PKD
• Easy for your clients to fill out with checkboxes, short answer sections, and yes/no questions. For each “yes” response there is a follow-up question included

INTAKE PAPERWORK SECTIONS

• Personal & Physician Information
• Medical History
• Kidney Specific Information
• Diet & Lifestyle
• Important Goals, Concerns, and Challenges

INSTANT ACCESS

• Once you purchase this item, you will get the access code to import directly into your Practice Better Account.
• 1-page PDF provided with step-by-step directions to import your new form templates.

If you don’t use Practice Better and are interested in using my intake form, a fillable PDF can be provided.

Questions? Please email me at [email protected], I am happy to help!