ADVANCED CLINICAL NUTRITION - Dr. D. Smith (940) 761-4045 Welcome to our secure Client website! | Our Cell-Friendly Visitor website is: AdvancedClinicalNutrition.Com - Dr. Smith Has Over 90% National and International Client Health Success Record!

1-HOME

2-INQUIRY QUESTIONNAIRE

3-CONTACT & COMPANY INFO

A-ABOUT DR. SMITH

B-COMPANY INFORMATION

C-SECURE CARD PROCESSING

D-INSURANCE CLAIMS

4-FAQ & LINKS

A-YES! WE CAN HELP YOU!!

C-AUDIO INTRODUCTION

5-WHAT OUR CLIENTS SAY

6-FREE SERVICES & MORE!

7-NEWSLETTER / SUBSCRIBE

A-ABOUT FREE EVALUATIONS

B-NEWSLETTERS 2014 to Now

C-NEWSLETTERS Prior 2013

8-SEMINAR & EVENTS

A-EVENT SCHEDULE

B-CHRISTMAS MAGIC - NOV

C-SECRETS TO HEALING-JULY

D-ABOUT ON-SITE TESTING

E-BCA REPORT-HOW TO READ

F-PUBLIC SPEAKING WEBPAGE

G-LECTURE REQUEST FORM

9-ARTICLES BY DR. SMITH

A-LIBRARY OF ARTICLES

B-VILLAGER PUBLICATIONS

C-WF PARENT PUBLICATIONS

10-EDUCATION - FREE & FEE

A-BLOG, FACEBOOK,TWITTER

B-POWER POINT SLIDES

C-ELECTRO-MAGNETIC (EMF)

D-YOUTUBES-COMA, HAIR, WT

E-YOUTUBES-FAT FALLACY

F-MENTAL HEALTH

11-E-BOOKS BY DR. SMITH

12-OUR SERVICES

A-ONLINE/BY-MAIL SERVICES

B-NUTRITIONAL ANALYSIS

C-NUTRITIONAL CARE

D-SPECIAL SUPPORT PROGRAM

E-DIETARY ANALYSIS

F-THERAPEUTIC VITAMINS

G-PERSONAL EDUCATION(PEP)

H-FULLBODY DETOX OVERVIEW

13-WHY TEST?

A-TEST/EVALUATION DEFINED

B-POOR HEALTH COSTS!

C-NUTRITION SAVES & PAYS!

D-HESITATING TO ORDER?

14-LABORATORY TESTING

A-HAC SYMPTOMS REPORT

B-BLOOD CHEMISTRY-44TESTS

C-THYROID TESTS-BLD/HAIR

D-HAIR MINERAL TESTS

E-SALIVA HORMONE-ADRENALS

F-SALIVA HORMONE - FEMALE

G-SALIVA HORMONE - MALE

H-URINE - (BONE TESTING)

I-STOOL / DIGESTION TEST

15-SELF-THERAPY PROGRAM

A1-FIRST EVALUATION

A2-RE-EVALUATIONS

B-SUPPLEMENT INSTRUCTIONS

C-DIETARY EDU & COOKBOOK

D-ARTICLES

E-ACUTE SYMPTOMS

F-DOUBLE HELIX WATER

G-AIR & WATER PURIFIERS

16-19 SUBSCRIBER PAGES

17-NUTRITION EDUCATION

A-FEEL BETTER 3-6 WEEKS!

B-BODY BY DESIGN

C-YOU CAN HEAL YOURSELF!

D-NOT TOO LATE TO HEAL!

E-DISEASES R DEFICIENCIES

F-DIET IS NOT NUTRITION

G-NUTRITION CONFUSING?

H-TRUE WORK SITE WELLNESS

18-EVALUATION FORMS

A-DIETARY QUESTIONNAIRE

B-SUPPLEMENT QUESTIONAIRE

C-TOXICITY QUESTIONNAIRE

D-STRESS OPINIONNAIRE

19-EVALUATION ANSWERS

A-DIET EVALUATION

B-SUPPLEMENT EVALUATION

C-TOXICITY EVALUATION

D-STRESS EVALUATION

20-33 CLIENT WEBPAGES

FREE INITIAL CONSULTATION

21-NEW CLIENT INSTRUCTION

A - INFORMED CONSENTS-CPA

B - QUESTIONNAIRES

C - CLIENT ORIENTATION

D - INSURANCE CODES

22-RETESTING INSTRUCTION

23-SPECIMEN INSTRUCTIONS

A-BLOOD TESTS FROM M.D.

B-URINALYSIS TEST STRIPS

24-REPORT OF FINDINGS

A-BLOOD TESTING

B-HAIR TESTING

C-SALIVA & STOOL TESTING

D-BONE RESORPTION URINE

E-URINALYSIS

F-NUTRITIONAL EVALUATIONS

25-PEP BINDER DOCUMENTS

26-CLIENT CONSULTS & PEP

1-FIRST PROGRESS REPORT

2-WHERE AGING FAST BEGINS

3-pH BALANCING

4-BREATHING & RELAXING

5-SLEEP HYGIENE

6-FOOD INTRO RESPONSE

7-NUTRIENT GUIDES

8-METABOLIC ANALYSIS

9-ORGAN & GLAND HEALTH

10-LOVE TO LOSE WEIGHT

11-LOVE TO GAIN WEIGHT

12-LOVE 2 KEEP MY WEIGHT

13-MENTAL HEALTH FEEL JOY

14-CANCER PREVENTION

15-HEALTH MAINTENANCE

27-FORM & QUESTIONNAIRES

28-POLICIES & PROCEDURES

29-EQUIPMENT-AIR-WATER

A-DOUBLE HELIX WATER-DHW

B-PURIFIERS - AIR / WATER

C-CHI MACHINE-ALIGN SPINE

D-SAUNA (FIR & PORTABLE)

E-POWER EYES

30-PEP ADVANCED PROGRAMS

A-HEALTH CHEST EDUCATION

B1-DIETARY PLANS

B2-DIETARY PRINCIPLES

C-LIFESTYLE COACHING

D-MIND & BODY CONNECTION

E-ANATOMY DIAGRAMS

31-SPECIALIZED PROGRAMS

A-PERSONAL CARE PROGRAM

B-DENTAL HEALTH PROGRAM

C-DYSBIOSIS PROGRAM

D-FULL BODY DETOX PROGRAM

E-SCAR DETOXIFICATION

F-SPORTS NUTRITION PROG

32-SPECIAL WEBSITE LINKS

A-HERBS (BULK & ORGANIC)

B-FOOD PRESERVATION BAGS

C-HOUSEHOLD PRODUCTS

D-LINENS-NATURAL FIBER

33-CLOSURE PROCEDURES

A-KEY 2 MAINTAIN RESULTS

Want Results? Stop Taking The Wrong Vitamins! Best To Test Before You Buy!

 
   
NEW CLIENT INSTRUCTIONS

WEBPAGE - A

Step 1 - Card Payment Authorization Form
Step 2 - Two "Informed Consents"

 
 
 
Please Mail Originals to Dr. Smith 
for Steps 1 & 2 within 24 Hours.
Make copies for your Records
Thank You!

 
  • The date on your first invoice is the date for the Card Payment Authorization Form.
  • Please complete all blanks at bottom and at right margin on each document below.

 
 


STEP 1   


CARD PAYMENT AUTHORIZATION FORM

IMPORTANT READ FIRST

Because the processing of your payment for our services does not include swiping your credit or debit card and then signing the payment slip in our presence, our Card Processing Company requires that you complete a Card Payment Authorization Form, which provides written permission for the verbal premission you gave at your appointment to process your card payments.  

Please note that we do not charge 
for services or products 
without your verbal approval first.

..

CARD PAYMENT AUTHORIZATION (CPA) FORM
Be sure the date on this form is
 the date of your first paid invoice. 

Document
1 Page
 
 
   

STEP 2

TWO INFORMED CONSENTS

IMPORTANT READ FIRST

  1. "Informed Consent - Clinical Nutrition Program" provides information on what to expect from our Clinical Nutrition Therapy and
  2. "Informed Consent - Business Policies" provides some key policy informatoin for all new clients.  
  3. Other policy information can be found on the "Policies & Procedures" webpage.

;

INFORMED CONSENT - CLINICAL NUTRITION PROGRAM (IC-CNP)

Document
IC-CNP 1Pg

INFORMED CONSENT - BUSINESS POLICIES (IC-BP)

Document
IC-BP 3 Pgs

Have You Completed All Steps Above?
Yes?  Then Click Here for Step 3 on Webpage B


 
FOOTNOTE
Secure Website Info - Disclaimer - Copyright

Last Website Update: 05/25/22  5 p.m. CST

Disclaimer:  Information provided in website for nutritional educational purposes only 
and not for diagnosis or treatment of any medical condition, disorder or disease
.
MAILING ADDRESS:  P. O. BOX 4652, WICHITA FALLS, TX 76308-0652
Copyright 2004  Dr. Donna F. Smith   All Rights Reserved
  .NET 8/22/18

You may have noticed Google is now placing a padlock icon to the left of some website addresses as an attempt to designate "secure" vs. "unsecure" website.  They are particularly interested in adding padlocks to website to assure the public that websites with shopping carts are secure for financial transactions, and not so much as a way to say the website is free of malware.  

Our website does not have a shopping cart because it is what is termed an "information only" website.  So our website has no need for a padlock.  Regardless of the reason, they are unable to add the padlock to our secure website because it is an older web design from the 1990's.  Therefore, no matter what warnings they may give you, rest assured that this website is secure.

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