Dietitian Client Initial Measurement Record
Client Information
Name
Date of Birth
Gender
Date
Body Measurements
Height (cm)
Weight (kg)
BMI
Waist Circumference (cm)
Hip Circumference (cm)
Body Fat (%)
Clinical Parameters
Blood Pressure (mmHg)
Blood Glucose (mg/dL)
Cholesterol (mg/dL)
Other Relevant Notes
Dietitian Assessment/Comments
Assessment/Comments