Ancient time-tested natural medicine

Online Forms and Downloads

To Be Completed By All New Patients (1-6)
Online Forms (Complete and submit on-line or print and bring to first consult)
1. Nutritional Assessment Questionnaire 2. New Patient Treatment Agreement
Downloadable Forms (Complete, Print, and bring to 1st Appointment)
3. Insurance Verification Form 4. Statement of Financial Responsibility 5. Food Journal for Nutritional Assesmen 6. Release of Medical Records
In addition to above forms:
To be completed by all Female New Patients	To be completed by all Male New Patients	To be completed by all Weight Loss New Patients
Female Health Questionnaire Quick Hormonal Evaluation If fertility patient, also Download and Complete Basal Body Temperature Chart Basal Body Temperature Chart (how to use)	Male Health Questionnaire	Weight Loss Questionnaire
Other Downloads
Affirmations and Visualizations