BE HEALTHY BY CHOICE!

CONTACT INFORMATION

2 10-MINUTE INTRO-VIDEOS

INQUIRY QUESTIONNAIRE

WHAT OUR CLIENTS SAY

VIDEOS BY DR. SMITH

COMA, HAIR, WEIGHT

FLU FALLACY, BEA'S STORY

WEIGHT LOSS 1 AND 2

SLIDE SHOWS

ARTICLES BY DR. SMITH

COFFEE ARTICLE

SCARS & TATTOOS

ABOUT DR. SMITH

ABOUT THE COMPANY

NEWSLETTER / SUBSCRIBE

WHY TEST?

POOR HEALTH COSTS!

NUTRITION SAVES & PAYS!

HESITATING TO ORDER?

ACN SERVICES & TESTS

LABORATORY TESTS

ASK DR. DONNA BLOG

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LECTURE REQUEST FORM

SEMINAR ANNOUNCEMENTS

REGISTRATION INSTRUCTIONS

FORM TO REGISTER

ON-SITE SEMINAR TESTING

PASSWORD NEEDED BELOW

"FREE" EVALUATIONS

TESTS/EVALUATIONS DEFINED

DIETARY QUESTIONNAIRE

SUPPLEMENTS QUESTIONNAIRE

STRESS OPINIONNAIRE

TOXICITY QUESTIONNAIRE

EVALUATION - DIET

EVALUATION - SUPPLEMENTS

EVALUATION - STRESS

EVALUATION - TOXICITY

NUTRITION EDUCATION

FEEL BETTER IN 3-6 WEEKS!

BODY BY DESIGN

YOU CAN HEAL YOURSELF!

IT'S NOT TOO LATE TO HEAL

DISEASES ARE DEFICIENCIES

DIET IS NOT NUTRITION

CONFUSED ABOUT NUTRITION?

TRUE WORK SITE WELLNESS

NEWSLETTER PAST ISSUES

NUTRITION PROFESSIONALS

SERVICES & HOW PROVIDED

ONLINE & BY-MAIL SERVICES

NUTRITIONAL ANALYSIS

NUTRITIONAL CARE PROGRAMS

SPECIAL SUPPORT PROGRAMS

DIETARY ANALYSIS

THERAPEUTIC VITAMINS

PERSONAL EDUCATION (PEP)

SPECIAL LINKS

SPECIMEN COLLECTION

ABOUT HAIR SAMPLING

FASTING INSTRUCTIONS

STUDY GROUPS

HERB STUDY FORM

STOP Taking The Wrong Vitamins! - It's Best To Test, Before You Buy..Vitamins!

Services@AdvancedClinicalNutrition.com

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INQUIRY QUESTIONNAIRE

and
INQUIRY TELEPHONE CONSULTATION


To Inquire About and To Order
Clinical Nutrition Testing;


Please Read The Information On This Webpage,
Complete The Inquiry Questionnaire Below
and Then Schedule The Inquiry Telephone
Consultation With Dr. Smith by Calling:

(940) 761-4045

Thank you.


 

INQUIRY QUESTIONNAIRE
(Importance of This Questionnaire)

Reviewing the Patient's Personal Information on the Inquiry Questionnaire, before the Inquiry Telephone Consultation with Dr. Smith, will give her the opportunity to prepare an Initial Nutritional Assessment and Financial Plan so that she may recommend the clinical nutrition analysis, laboratory testing, and/or other service that best suits the patient's needs and will save time for both the Inquirer and Dr. Smith at the Inquiry Telephone Consultation. Please note that the Head of Household must also be present at the inquiry Telephone Consultation.

 

ABOUT THE
INQUIRY TELEPHONE CONSULTATION

Because Dr. Smith wants to answer each Inquirer's questions personally and to their satisfaction, she will either talk to the Inquirer when first called or, if unavailable due to a previous committed, a telephone consultation will be scheduled as soon as possible.

Please Note: If the Inquirer is not the Head of Household, i.e., the person who has the final authority in all financial decisions, please schedule the Inquiry Telephone Consultation with Dr. Smith when the Head of Household is present.  The purpose for this request is provided below.

Completing the Inquiry Questionnaire, prior to contacting our office, greatly assists Dr. Smith in evaluating which services best suit the patient's needs and, therefore, saves time at the Inquiry Telephone Consultation.


 

CONFIDENTIALITY

Thank you in advance for providing the Patient's Personal Information on the Inquiry Questionnaire. This information is confidential and used only by Dr. Smith and her staff for the purpose of Inquiry and providing the services of Advanced Clincial Nutrition should the Inquirer choose not to request our services after the Inquiry process has concluded.  Should the Inquirer decline our services, this information will no longer be used and no future contact will be made to the Inquirer or Patient. 

 
 
 

INQUIRY QUESTIONNAIRE


PLEASE TYPE ALL ANSWERS IN CAPITAL LETTERS



 
 
                            
INQUIRY FORM - PLEASE CAPITALIZE ALL ANSWERS. THANK YOU. Date:
What is Patient's Time Zone? (Please note: Appointments are scheduled in Central Standard Time (CST), please be sure to adjust this to your time zone, if different. Thank you.
Inquirer's First & Last Name and relationship to the Patient.
Patient's First, Middle & Last Name
E-mail Address
What are the best days/times to call the Inquirer in order to schedule the Inquiry Consultation with Dr. Smith, in the event, this does not occur upon first contact with our office? Our goal is to schedule same day or within 24 hours so all questions are answered as soon as possible.
Daytime Phone() -
Evening Phone() -
Cell Phone() -
Fax() -
Age
Birth Date
Who or What Referred You? If an internet search, please list key words.
Mailing Address Line 1
Mailing Address Line 2
City
State
Zip Code
Country
Shipping Address If Mailing Address is a P.O. Box:
Patient's Occupation or is Patient a student?
Average Number of Hours at Work or School/College?
Is Patient sensitive to and/or frequently exposed to environmental pollutants? If yes, indicate type (chemicals, metals, glass, dust, grass, pollen, hay, etc.). Where and how often (number of hours per day, week or month) exposed?
Please List Patient's Top 5 Health Concerns in order of Priority - #1 Health Concern
#2 Health Concern
#3 Health Concern
#4 Health Concern
#5 Health Concern
What is Patient's (Parent/Guardian) Level of Commitment? Please provide a number from 1 to 10 (10 is highest) to represent level of commitment to following Dr. Smith's safe and effective instructions precisely, i.e., doing what is necessary to improve Patient's health?
Is the intention in contacting us to improve the patient's overall health? Yes or No. Explain:
Is the intention in contacting us to receive an Acute Immediate Care Program only? Yes or No. Explain:
Is the Intention to improve the patient's overall health and an Acute Immediate Care Program, whenever, the latter arises? Yes or No. Explain:
Please describe the Head of Household's preferred financial investment in the Patient's nutritional health care, so that Dr. Smith may recommend services and programs that also consider the family budget. Ideal (exactly what is required to heal as quickly as humanly possible; finances are available or attainable to meet this goal); Moderate (Focus is on several of highest priorities; at moderate financial investment) or Low (Focus is the #1 Priority; Limited financial investment). If not known, put: "Don't Know" and Dr. Smith will obtain this information at the Consultation.
Consider this: INQUIRY CONSULTATION (INQ) CONCLUSION: All questions answered to Inquirer's satisfaction. The informed decision is Yes, the Initial Assessment Plan agreed upon by the Inquirer and Dr. Smith best suits the patient's needs, and it is now time to pay for the Initial Assessment Plan. Question...Does the Inquirer need to consult with someone before paying? 1) Yes or 2) No, because Inquirer is either the Head of Household (HH) or the Inquirer carries financial authority in this particular decision or any decision they make. (Note: On this form HH represents any person who has financial authority in this Patient's case.) Please Answer: Yes or No.
If Yes to previous question, the Inquiry Telephone Consultation with Dr. Smith must be scheduled to include the Head of Household (HH), adult Patient (Parent / Guardian), and the Inquirer, if not the same. 3-Way Telephone Conferencing is a solution to scheduling challenges. Therefore, please indicate 2-3 appointment options (ex. Wednesdays 3 p.m. and Thursdays 4 p.m.) C.S.T., so we may schedule an appointment date and time that is best for all, as soon as possible.
First and Last Name of Head of Household:
At the time of the Inquiry Consultation between Dr. Smith, Head of Household, and adult Patient (Parent or Guardian), if not all the same, please indicate which telephone number she is to dial.() -
Is there anything you want to communicate to us that has not been covered in this Inquiry Questionnaire?
I will read the Laboratory Tests web page before my Inquiry Telephone Consultation with Dr. Smith - Yes or No? (Note: This will prepare you for and reduce your consultation time with Dr. Smith.)
 

Thank you for completing the Inquiry Questionnaire.


Dr. Smith has a message for you (to the right).


 

With Vitamin Deficiency Testing

Soon, you, too, will:
  • improve your health,
  • increase energy,
  • manage weight,
  • control appetite,
  • balance hormones,
  • strengthen bones,
  • boost mental function,
  • regenerate cells,
  • heal tissue,
  • promote anti-aging,
  • prevent disease,
  • enhance life and sports performance,
Just as thousands of clients have done before you.

Click below to inquire about and to order a clinical nutrition analysis of the laboratory testing of your individual nutritional biochemistry (blood, urine, saliva, hair, stool, etc.), from which Dr. Smith will design a personalized therapeutic, whole food (vitamin, mineral, herb, homeopathic) supplement and dietary program to meet your individual nutritional requirements.

Click Here To Return To Inquiry Questionnaire

 
  
TAKE TIME FOR YOUR HEALTH NOW
OR

MAKE TIME FOR YOUR DISEASE LATER!


 
Link To Order & Inquire


Clientele In 35 U.S. States
   
Over 90% Success,
 Feel Better In 3-6 Weeks!


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WHETHER YOUR INTENTIONS ARE TO
IMPROVE OVERALL HEALTH
OR

A ONE-TIME ACUTE PROGRAM

DR. SMITH CAN HELP YOU!

What is an Acute Program?

It is an immediate, even urgent or emergency, need for Dr. Smith's assistance.   People seek our help for a variety of reasons.  Some are interested in improving their overall health, to address their multiple vitamin deficiencies, biochemical imbalances and organ/gland dysfunctions, and others contact us, periodically, whenever they need our help, similar to those who go to a medical emergency room when in trouble. Some people prefer natural healing over drug therapy and others have allergies to or have had severe reactions to drugs and, thus, cannot use drugs as a method of treatment.  Whatever your intentions or needs, Dr. Smith can help you.

Examples of an acute one-time nutritional support program, may be for a rapid recovery from a cold or the flu, sciatic nerve, sprain or broken bone, post-operative surgery, headache, periodic bouts of diarrhea or constipation, discomfort from acid reflux or indigestion, a sudden state of anxiety, or for any reason,  to name a few.  If this is you, or your are interested in overall health improvement, please indicate this on the Inquiry Questionnaire (middle column), when asked about your interests or intentions.

 
TERMS

To make informed deicisons about using a new health care service, it is important to start by understanding its language or terms.

The "Patient" is the person who will be using our services to improve their health. We refer to patients as clients, except on this webpage. Also, refer to "Patient - Client Defined' in the lower-right column.

The "Inquirer" is the person who completes the Inquiry Questionnaire and then schedules the Inquiry Telephone Consultation with Dr. Smith in order to obtain information about our services. The Inquirer may also be the patient or the head of household (or both) or neither. The Inquirer may be a family member or friend inquiring for the patient or the head of household.

The "Head of Household" is the person who has the final word on all financial decisions related to paying for the patient's services.

If the patient is a miinor, the Parent or Legal Guardian may be the Inquirer and/or Head of Household.

 

Attention: Inquirer
Are You The Head of Household?


It is important to Dr. Smith that each person inquiring about our services has all of their questions answered to their satisfaction and that the decision, to improve the patient/client's health utilizing our clinical nutrition and naturopathic services, is an informed one.

The most important decision one can make in their life is to invest the necessary and vital time, energy and money in their health. If you are not sure about this, click these links and read our two web pages, titled:

Poor Health Costs and
 
Nutrition Pays & Saves

After completing the Inquiry Questionnaire on the patient/client's personal information, you will be ready to call our office to schedule the Inquiry Telephone Consultation with Dr. Smith to get all questions answered to your satisfaction.

If the Inqu
irer is also the Head of Household and Dr. Smith is available at the time of your call, Dr. Smith will glad to provide the Inquiry Telephone Consultation at that time.

If the Inquirer is not the Head of Household, in other words, the person who has the final word on all financial decisions, the Inquiry Telephone Consultation with Dr. Smith will be scheduled when the Head of Household is also present.

Three-way telephone conference calls are a solution to schedule challenges when setting up the Inquiry Telephone Consultation appointment to include the Inquirer (i.e. the Patient or if Patient is a child, the Parent or Legal Guardian), Head of Household
and Dr. Smith.

We acknowledge that when the Inquirer is not the Head of Household, the Inquirer is often the person gathering this information to save time and effort for the Head of Household and it may seem a bit inconvenient to have to take the time to coordinate their schedule with the Head of Household and Dr. Smith's schedule to set the Inquiry Telephone Consultation before any information can be obtained about our services.

However, our experience, since 1981, has proven that this effort actually saves time in making important personal and financial decisions, when all questions are answered in one phone call, with everyone involved present and fully-informed.

Before we realized the value and time-saving benefits of having the Head of Household present at all Inquiry Telephone Consultations, we would observe that after the Inquirer had made an informed decision that our services were the answer to improving the patient's health, having had their questions answered to their satisfaction, and Dr. Smith had agreed to accept the Patient/Client's case, the Inquirer was rarely able to, then, answer the Head of Household's questions to their satisfaction, due to the complexity of clinical nutrition and naturopathy.  This would, then, result in the Head of Household making an "uninformed" decision to not pursue our services.

However, in each case when the Inquirer was also the Head of Household, or the Inquirer had arranged for Dr. Smith to answer the Head of Household's questions, first, the Head of Household made an informed decision to pursue our services and, thus, the patient was now, finally, able to get to the cause of their health challenges and improve their health.

Because it is the patient who always suffered when denied the services that could truly help them, and we want to do all we can to make sure they have this opportunity, it is now our policy that the Inquiry Telephone Consultation with Dr. Smith is scheduled only when the Head of Household is also present.


"I would like to personally thank the Inquirer in advance for their time and effort in scheduling the Inquiry Telephone Consultation, properly, with the Head of Household present, and we hope that sharing the above has helped the Inquirer understand the value of policy."
Dr. Donna F. Smith

 

PATIENT - CLIENT DEFINED

You may notice that we use the term "client(s)" instead of "patient(s)" on each web page, except this one. Why? Because the word "client" represents an inter-dependent relationship between the patient and Dr. Smith.

What is an inter-dependent relationship?

This means that to improve the patient's health is dependent upon the success of Dr. Smith's advice and services, plus the patient's ability to adhere to Dr. Smith's advice and instructions, precisely. Because it takes both to succeed, to us, the term client best describes this inter-dependent relationship, than the term patient.

Once the Inquiry Process is completed, i.e., completed the Inquiry Questionnaire, the Inquiry Telephone Consultation with Dr. Smith and has paid for the patient's Initial Assessment, patients are then referred to as our client.

 
IMPORTANT MESSAGE TO THE
INQUIRER FROM
DR. SMITH


"I am looking forward to answering all questions to your satisfaction and that of the Head of Household, no matter how tough or impossible they may seem right now. 

I am confident that, together, we can formulate a Nutritional and Financial Plan that best suits the patient's health improvement needs and family budget.


If your intention is to improve over all health, beginning with your most challenging health concerns and because the lifespan of the red blood cells is three months, I would like for you to commit to, at least, a three-month clinical nutrition program, in order to:


1.  complete the first cycle in the healing process of biochemistry so that it may be sustained and you will will receive value for your three-month investment, even if you choose to discontinue your program in the fourth month, for any reason.  Remember, the average time it takes to begin feeling better, no matter what the health challenge, is 3-6 weeks.

2.  allow sufficient time for a fair evaluation of the value of our services to you and to prove to you that our clinical nutrition and naturopathic services are safe and effective, and the information in this website is the truth.

3.  prove to yourself, from your own experience, that clinical nutrition and naturopathy works!

Thank you for giving us both the opportunity to succeed at the above goals.  Talk to you soon and God Bless,"
  

Dr. Donna F. Smith

 

Contact Information:

Services Provided by Mail, e-Mail and Telephone Consultations!

(940) 761-4045

Donna F. Smith, Ph.D., N.D., C.C.N.

Ph.D. in Clinical Nutrition, Naturopathic Doctor, Board Certified Clinical Nutritionist

Email:  Services@AdvancedClinicalNutrition.com



BUSINESS HOURS BY TIME ZONES


(CLOSED WEEKENDS, HOLIDAYS & FOR LUNCH)


MONDAY TO FRIDAY  HOURS 
 
    CENTRAL:   10 a.m. - 5 p.m.     
   LUNCH    12 p.m. - 1  p.m.
    EASTERN:   11 a.m. - 6 p.m.     
    LUNCH     1 p.m.  - 2  p.m.
MOUNTAIN:  9 a.m. - 4 p.m.

      LUNCH     1 p.m.  - 12  p.m.
        PACIFIC:      8 a.m.  - 3 p.m.        
     LUNCH   10 p.m.  -11 a.m.



HOLIDAY CLOSED DATES

  • New Year's Eve & Day
  • Memorial Day
  • Fourth of July
  • Veterans Day
  • Thanksgiving
  • Christmas Eve & Day


IMPORTANT NOTE:

THE INFORMATION PROVIDED IN THIS WEB SITE IS NOT PROVIDED TO DIAGNOSE OR PRESCRIBE TREATMENT FOR MEDICAL CONDITIONS, DISORDERS OR DISEASES!  Advanced Clinical Nutrition's clinical nutrition and naturopathic (sometimes referred to as complementary or alternative medicine or health care)  services are provided to identify and correct deficient nutrient levels to balance body chemistry and promote the healthy function of human organ, glands and body systems. Prices may change without notice and current Prices will be charged.  Policies may change  without notice and policies apply to all web pages.  Services by mail e-mail, and telephone consultations. 

www.AdvancedClinicalNutrition.com

Check out our sister web site below, which is marketed to women, yet designed for everyone!

www.WomenSportsNutrition.com

The articles and educational information in WomenSportsNutrition.com are timeless.  Please note, however, that at this time, the address needs to be updated, Dr. Smith's Ph.D. needs to be added, the Nutrition Report autoresponder is not working and the SEND button on some questionnaires are not functioning.  Those who are subscribers to our HealthQuest e-News will be notified when our WomenSportsNutrition.com website has been updated.  Thank you for your patience.

Copyright 2004  Dr. Donna F. Smith, Ph.D.  A.C.N. Website Updated (08/19/09)