2. Have risk factors of chronic disease based on elevated BMI (\>25; 85th percentile),
3. Be seen at one of the selected Parkland COPC clinics,
4. Have not completed a dietitian visit within the last 12 months,
5. Both the participant and caregiver must be fluent in English or Spanish (read, write, and speak) and be willing to participate in the study over a 12-month duration.