- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
     Before the Consulation
     Download and fill out out the Nutrition History Form, and email to clyde@drclydewilson.com. Initial Consultation
     will be 2 hours without a form.
     - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
     To schedule a consultation, send the following information to clyde@drclydewilson.com.  

     Name & Contact Information:
    
Desired Date and Time :
    
Length of Initial Consultation: [ ] 1 hour (requires Nutrition History Form 24 hours prior)
                                                     
[ ] 2 hours
    
 By Phone or In Person:
      
  If in person, specify location if not at SMI:
     Written Feedback:
[ ] Condensed Feedback (1 page summary)
               
                    [ ] Comprehensive Personalized Nutrition Plan (12+ detailed nutrition plan)
     - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 
    
Pricing
     By Phone : $120 / hour
     In Person : $150
     Transportation Fee (if not at SMI): $75 / hour; $50 minimum
     Condensed Feedback: $30
     Personalized Nutrition Plan: $150
     - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 
   
  Cancellations
     Due in advance; must be received by SMI within 2 business days prior to seminar
     Checks should be made out to Sports Medicine Institute, pay at SMI or by mail
     Payments can be made by credit card at SMI or by calling (650) 322 - 2809 ext. 0

     - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 
   
  Payment
     Due in advance; must be received by SMI within 2 business days prior to seminar
     Checks should be made out to Sports Medicine Institute, pay at SMI or by mail
         Mail checks to:
         260 Sheridan Ave. Suite B40
         Palo Alto, CA 94306
     Payments can be made by credit card at SMI or by calling (650) 322 - 2809 ext. 0