Eileen F Pierro MED, RDN, LD
Welcome to Nutrition Counseling!
Currently I am only accepting self pay patients. Appointments are 50 minutes in length. Payment is due at time of visit or before visit.
For appointment scheduling please call 603-247-2998. Prior to your virtual or in person appointment, email completed forms to firstname.lastname@example.org or bring forms to appointment.
- A copy of laboratory results from your doctor’s office
- Personal and Lifestyle History Form
- Medication and Supplement List-2
- Patient Personal Information Form-2
- 3 Day Food Record-3
- Acknowledgment of financial responsibility
- Authorization for release of confidential information form
- HIPPA Guidelines Form