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Home » Dietitian Clinic Patient Info Form

Preparing For Your First
Dietitian Appointment

Helping You Reach Your Nutrition and Health Goals with Expert Support

Welcome to Your Dietitian Services

Thank you for choosing to work with our dietitian. This initial consultation is a key step in creating a nutrition plan that’s tailored to your needs and goals.

Please take a few moments to fill out the intake form below, as this will help your dietitian get a clear understanding of your health background and current needs. If you’re unable to complete it beforehand, no problem, your dietitian will go through it with you during the appointment.

Complete Patient Intake Form

Patient Information for the Dietitian Clinic

To make the most of your first appointment, please provide as much information as possible in the online intake form. This information allows our dietitian to prepare for your consultation and offer the best possible support.

If you’re comfortable sharing any doctors’ letters, operation reports, or discharge summaries that may be relevant, please email these directly to us, or upload into the form below. These documents can provide further insights that support your dietitian’s recommendations.

Relevant details to include:
  • Your Diagnosis
  • Current Treatment
  • Previous Surgeries and Treatments
  • Full Medical History, including any conditions such as diabetes, high cholesterol, heart disease, eating disorders, bowel surgery, etc.
  • List of Current Medications
  • Recent Blood Test Results (if accessible)

What to Expect at
Your First Dietitian Appointment

Your first appointment with the dietitian will focus on understanding your health needs, current lifestyle, and nutritional goals. You’ll discuss your medical history, diet, and any specific challenges you’re facing. Our dietitian will work closely with you to create a realistic and achievable plan that supports both your health and lifestyle.

Dietitian Intake Form 

Please complete the intake form below to help us prepare for your first session.

NET Nurse Hotline

To telephone our NET Nurse hotline for general advice about your NET diagnosis:
1300 CURE NETS (1300 287 363)
If you are unable to get in contact please leave a detailed message and they will return your call as soon as possible.

Multilingual Line Support Details

NeuroEndocrine Cancer Australia are pleased to announce that we can now offer our NET Nurse service to those who speak a language other than English, via the National Translating and Interpreting Service, for the cost of a local call (except for mobiles).

To access this Translating and Interpreting Service (TIS National), simply follow these steps:

  1. Call 13 14 50, Monday to Friday 9.30 am – 4.30 pm.
  2. Say the language you need.
  3. Wait on the line for an interpreter (may take up to 3 minutes).
  4. Ask the interpreter to contact NeuroEndocrine Cancer Australia on 1300 287 363
  5. Talk with our NET Nurse with the help of an interpreter.

We look forward to being of service to all English and non-English speaking patients and families.

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What are NETs

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  • Governance & Policies

Patients & Carers

  • What are Neuroendocrine Cancers?​
  • Pheos and Paras
  • NET Library
  • What are Neuroendocrine Cancers?​
  • Pheos and Paras
  • NET Library

Healthcare Professionals

  • Patient resources
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All charity donations to NeuroEndocrine Cancer Australia may be tax-deductible in Australia.

Registered Charity CFN 202607
© 2025 NeuroEndocrine Cancer Australia
  • Website by Five Creative
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Subscribe to Newsletter

NECA Logo
registered charity badge

What are NETs

  • About Us
  • Our People
  • Our Ambassadors
  • Consumer Advisory Group
  • International Advisory Panel
  • Governance & Policies
  • About Us
  • Our People
  • Our Ambassadors
  • Consumer Advisory Group
  • International Advisory Panel
  • Governance & Policies

Patients & Carers

  • What are Neuroendocrine Cancers?​
  • Pheos and Paras
  • NET Library
  • What are Neuroendocrine Cancers?​
  • Pheos and Paras
  • NET Library

Healthcare Professionals

  • Patient resources
  • NET Nurse
  • Patient Stories
  • Australian NET Specialists
  • Current Open Clinical Trials
  • Patient resources
  • NET Nurse
  • Patient Stories
  • Australian NET Specialists
  • Current Open Clinical Trials

Get Involved

  • Shop
  • Donate
  • Volunteer
  • Current Fundraising Campaigns
  • Fundraise
  • Shop
  • Donate
  • Volunteer
  • Current Fundraising Campaigns
  • Fundraise
All charity donations to NeuroEndocrine Cancer Australia may be tax-deductible in Australia.

Registered Charity CFN 202607
© 2025 NeuroEndocrine Cancer Australia
  • Website by Five Creative
Twitter Facebook Youtube Instagram Linkedin