If you work with clients who are struggling with eating disorders or intuitive eating, this initial session note template will be a lifesaver!


This Note Template includes all of the essential information you need to get started with a new client, including medical history, current vitals and pertinent measurements, calorie and supplemental needs, a section for their totals on the EAT-26 and EDE-Q questionnaires AND goals sections.

With this template, you’ll be able to provide high-quality care that gets results.

  • Get off to a great start with your new clients with this comprehensive initial session note template
  • Includes anthropomorphic measurements, calorie and supplemental needs calculations, snack ideas, and more!
  • Prompt questions in key areas for better client care
  • Helps you provide efficient and effective care for your new clients


PLUS, there are prompting questions in the following areas:

  • History of relationship with food
  • Their current meal patterns and lifestyle
  • Hunger and Fullness Cues
  • Current Body Image and History with Body Image
  • Movement/Exercise Relationship History
  • Stress Levels
  • Goals to focus on before next session

It also includes the necessary clinical note section:

  • Checklist of PES Nutrition Diagnoses to choose from
  • PES Statement section
  • Monitoring and Evaluating section
  • Multiple choice section for recommend follow up recommendation (time frame)

What’s Included:

  • Canva Template to edit how you like and update branding colors to upload the form into your portal OR to use as a PDF.
  • Does NOT include a PDF of the form, ONLY the Canva Template Link.


INSTANT DOWNLOAD: Once you purchase this item, it will be available for instant download.

LICENSE: You may not share, sell, or distribute the file.

Copyright 2024 © Vickery Wellness, LLC. Vickery Wellness, LLC retains all rights to the design and file.

Because this is a digital file, no refunds will be made.

Declet Designs

Digital products for private practices

$12.99

What You'll Get:

1 Initial Session Note Template for Canva

  • 1 Files
  • initial consult note template canva.pdf
    264.6 kB
  • 1 pages (~134 words)