page preview of nutrition assessment form for inflammatory bowel disease

Providing optimal nutrition care to patients with IBD, including Crohn’s and ulcerative colitis, starts with asking the right questions.

Developed by two IBD-focused registered dietitians nutritionists, this FREE assessment form will help you gather key information so you can provide the best care to your patients with inflammatory bowel disease (IBD). And your patients will love it because they can complete it directly on the computer! No printing required.

Using this form, you’ll learn more about your patient’s:

  • Personal hopes and goals for working with you
  • General and IBD-specific medical history
  • Gastrointestinal work-up, including results from past procedures for diagnosing and monitoring disease
  • Relevant blood work to assess for nutrient deficiencies and inflammation
  • Gastrointestinal and extra-intestinal symptoms
  • Anthropometric data
  • Current medications and supplements
  • Food triggers, including allergies, intolerances and sensitivities
  • Observations from previous dietary interventions
  • Typical food intake
  • Appetite, sleep quality and energy level


Don’t miss these clinical resources for IBD nutrition care.

The RDN’s Ultimate Guide to Managing Constipation in Patients with Ulcerative Colitis –  click here for more details. 

The RDN’s Ultimate Guide to Mediterranean-Style Eating for Patients with Crohn’s Disease and Ulcerative Colitis –  click here for more details. 

Eating with IBD, The Essentials –  click here for more details. 


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  • Nutrition Assessment form for IBD

    This is an excellent resource! So thorough! It is a great assessment tool.

  • Very detailed

    This is a great resource. Very detailed and thought out.

  • Nutritional Assessment Form for Chrohn's, Ulcerative Cholitis and other Inflammatory bowel disease

    Excellent resource for assessing residents with IBD. Will be able to provide the best care to these individuals.

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