Daily Food Log

Please keep a detailed food log of everything you eat for three days prior to your visit. Be sure to include everything you consume, including candy and water.

Use the form below to record your food intake. Either fill it out online and submit it via email or print it using the button at the bottom of the page, or hand write your log by printing the “Sample Food Log (PDF)” also at the bottom of the page.

Let Food be thy medicine and medicine thy Food. – Hippocrates