Becoming a Client

You may schedule an office visit or you may make an appointment for a telephone consultation. The initial visit is approximately one hour long whether in the office or over the telephone. To be prepared you will need to complete some paperwork prior to your first appointment. Please print these forms from your computer and once completed, forward them to the office. In addition, if the patient is a child, we ask that you forward a copy of the growth chart records that include height, weight and head circumference history, which can be obtained from your physician. This will allow more time for productive discussion during the visit.  Once the forms are received, you will be contacted to schedule an appointment.

Prior to your visit, your information will be reviewed thoroughly and a preliminary protocol will be in place before you arrive. During the initial consultation, as more is learned, this plan will be revised and modified to best suit you or your child’s needs.

At the first visit, functional laboratory testing may be recommended to aid in assessing the underlying cause of health problems. Along with diet and lifestyle changes, appropriate vitamins, minerals, herbs, and/or specific supplement formulations will be recommended.
Functional lab testing may include, but is not limited to test evaluating GI function , food sensitivities, hormones, amino acids, vitamins/minerals, organic acids, adrenal gland function, and/or endocrine function.

Please mail the completed questionnaire and required forms to:
Vicki Kobliner RD LLC
Holcare Nutrition
3 Hollyhock Road
Wilton, CT 06897

If you have additional questions about getting started please call 203 834 9949

Please click on the following links to access the necessary forms.

Adult Questionnaire

Initial Pediatric Nutrition Questionnaire

Initial Contact


Additional Forms:

Medical Release Form

Tips for Completing an Accurate Food Record

Daily Food Record