Difficult Diners - Download patient forms

Home Page

Difficult Diners
The Book

The Everyday
Dairy-Free Cookbook

Restricted diet
information

Book an appointment

About Miller Rogers

Talks / Workshops

Published articles
by Miller Rogers

WARM

Difficult Diners
Children

Substituting Foods

Helpful references
and societies

Links


Click to down load the appropriate form.

Please print the form out, fill it in and bring it to your appointment.
Allow plenty of time as some of the questions may require you to ask relatives or doctors for information.


Initial Questionnaire

For all new patients coming to the
Clapham Common Clinic, in London.

                                     
Phoenix Questionnaire

For all new patients attending
the Phoenix Clinic in Brighton.


Patient Update form
 
For patients who have had a long gap       between appointments or who have had a change in circumstances or symptoms.

Difficult Diners is a website dedicated to those who eat a restricted diet, literally those who find it difficult to dine anywhere other than home. It is also for parents and carers of difficult diners, as they have to cook for a restricted diet. It includes information on the more common allergies, wheat, dairy, yeast , sugar, and nuts. It also includes sample recipes for diets that are wheat free, dairy free, yeast free, sugar free and nut free. Sample recipes have been taken from Difficult Diners--The Cookbook.
Difficult Diners was set up by Miller Rogers in 1998. Miller Rogers is a nutritional therapist who works in Clapham, South London. She runs a thriving private practise, giving nutritional advice for those who are looking for a more natural route to health. Miller Rogers also gives talks and workshops on food intolerances and other nutritional related topics by request.
Miller Rogers trained at the Plaskett College of Nutritional Therapy and has a Diploma in Nutritional Medicine. She also has a BA in Catering Management and Retail Management. Miller Rogers is married and has two children.