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!
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Email: STSP@AdvancedClinicalNutrition.com
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STSPTM INITIAL NUTRITIONAL EVALUATION
WELCOME TO STSPTM - PLEASE START HERE
This webpage provides Step-By-Step Instructions, Questionnaires, Forms, Articles and other information required to process Health and Symptom History for your initial Nutritional Evaluation Report.
Upon receipt of each completed document to be sent to us, you may expect your Nutritional Evaluation Report to be emailed to you within 5-7 business days, exclusing dates closed for holidays. Closed dates are posted on our "Contact Us / Hot Line" webpage. Note: The six pages that comprise the two Informed Consents listed below must arrive by USPS mail before we can email your Nutritional Evaluation Report.
We will not be able to contact you for any missing information, therefore, to be sure that your Nutritional Evaluation Report will be accurate, when completing questionnaires and forms to return to us, please take your time to answer each question honestly, completing each blank or put N/A if not applicable, so we know you did not simply overlooking answering the question.
However, please do not hestitate to call us if you need help with any of the following steps. We are here to serve you and truly want you to enjoy the process, as well as receive the best health improvement results possible through Dr. Smith's professionally designed "Self-Therapy Supplement Program (STSPTM).
INSTRUCTIONS AND OVERVIEW FOR COMPLETING QUESTIONNAIRES AND FORMS
SYMPTOM SURVEY FORM (SSF)
(The Science Behind the SSF)
and an
INSTRUCTIONS AND OVERVIEW OF QUESTIONNAIRES & FORMS (STEP 1 - 4)
Read this article for information regarding the above, additional instructions and important information you need to know to help you succeed in designing your own therapeutic supplement program.
COMPLETE STEP 1 to 4 TO SEND TO A.C.N. AND KEEP A COPY FOR YOUR RECORDS!
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Step 1
TWO INFORMED CONSENTS
Please print two copies of all pages of the two Informed Consents below. Sign and complete the blanks on every page and then USPS mail all six pages with original signatures to us within 24 hours.
Please notice that there are two columns on page one of the Client Information Form. Both columns must be completed on Page 1. If you have not provided your birthdate, you missed completing all blanks for column two on this form.
Please print one copy of all pages.
After completing this form, you may send your completed copy to us by email, fax or USPS. However, if you choose USPS mail, please make a photocopy of all documents sent via. mail before sending to us.
Complete this only if you are taking supplements not purchased through A.C.N., that you think you cannot live without right now and that you take on a daily basis.
Keep one copy for your records and send one of each to us.
In time, when your symptoms, for which you are taking these supplements, start to improve through our therapeutic supplements you will be ready to wean off them, so they do not interfere with your healing progress.
Remember what is being sold directly to consumers today through health food stores and on-line vitamin companies are synthetically-made or isolates, both of which suppress symptoms and mainipulate your body, they do not heal.
This form will help you keep track of the dates for updating your Questionnaires for your next Nutritional Re-Evaluation.
When you add a new date onto this form, email, USPS or fax a copy to us for your chart and for verification that you have calculated the correct Due Date.
Note: This form and instructions below was added to this website after the information on how to calculate your Re-Evaluation Due Dates was written in the instructions on Webpage 4-B regarding how to design your therapeutic supplement program. This form makes that information easy to use and calculate.
How To Complete this form::
Date 1st Report—Write on the Horse Row, the date that is on your first Nutritional Evaluation Report once received.
Date 2nd Report Due—This is the first Monday that represent the 13the week from the date you start your supplements. Write this date on the Horse Row.
All other Report Due Dates— Their Monday dates are written in on the row that represents the monthly cost of supplements for current self-designed program.
ONCE THE ABOVE QUESTIONNAIRES AND FORMS HAVE BEEN SENT TO ADVANCED CLINICAL NUTRITION PLEASE READ ALL ATTACHED WEBPAGES THAT CAN BE OPENED WITH YOUR STSP PASSCODES (i.e., 4-D, 4-E, 4-F, and 4-G)
PASSCODES TO OPEN 4-A2, 4-B, and 4-C WILL BE INCLUDED WITH YOUR NUTRITIONAL REPORT!
THANK YOU AND GOD BLESS!
FOOTNOTE
Secure Website Info - Disclaimer - Copyright
Last Website Update: 04/02/2024 8 a.m. CST
Disclaimer: Information provided in website for nutritional ducational 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.
