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Helpful Forms

If you're a first-time client, please download, unzip, review and complete all the forms in "New Client Forms", bring them to your first session.

New Client Forms


If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

Consent to Release

Here are the individual new client files:

Amino Acid Therapy Chart
Client Intake  

Disclosure Statement

Nutritional Symptom Questionnaire
Diet Diary
Nutritional Consultation Statement of Understanding

Note: To download Adobe Acrobat Reader for free, click here.

Contact Christina Veselak
As a licensed therapist in Denver, CO, Christina Veselak specializes in EMDR therapy, amino acid therapy, and integrative nutrition for PTSD treatment, drug and alcohol addiction, food addiction, and even things like hypoglycemia. Learn more about her treatment approach as a Denver Mental Health Nutritionist here. Serving such areas as Englewood, Aurora, Centennial, and more, Christina Veselak’s office is located in southeast Denver. Call her today at (303) 888-9617 to schedule your appointment.

Helpful Forms

Click here to view and print forms for your appointment.

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