Forms for Patients
*Forms for New Patients
Click on each form below to download the necessary forms to start your health and lifestyle assessment.
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* New Patient Forms | ||
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* 7 day Food and Lifestyle Survey | ||
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* HIPAA Disclosure and Consent (please read and sign) | ||
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* Height and Weight Measurement (for weight loss) | ||
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* Medical Symptom Questionnaire | ||
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*Gastro-Intestinal Questionnaire | ||
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*Detoxification Questionnaire | ||
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Update Form: needed every 3 months.
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Cleansing and Supplement Schedule
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