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Paperwork

Upon entering the office, we have some paperwork for you to fill out.
The paperwork provides us with general information about yourself and specific information about your condition. 80% of a diagnosis is established by your history. Take is seriously. Also, if you know how to save the forms and send them to me, I will look at them before you are seen. This saves so much time and gives me insight into what tests to perform. Send them to [email protected]

  • New Patient Forms - Click on this link to print out forms and complete them at your convenience before you come to our office for your first appointment.
  • ReEval (Returning patients) Forms- Returning patients click on this link to print out forms and complete them at your convenience before you come to our office .
  • Notice of Privacy Practices - Click on this link to view or print our Privacy Notice.

Once the paperwork has been completed, you will have a consultation with the doctor to discuss your health-related problems, concerns, as well as potential treatment options.

“Dietary solutions need to be tailored to individuals because what works for one person may have no effect on another person, and may make a third person worse."

Fill out this FOOD DIARY and write down what you eat and how you feel. Continue to fine tune the foods that make you feel good, those that don't seem to do much and especially those that do not make you feel worse.

Symptom Survey Click on this link to print out forms and complete them at your convenience before you come to our office for your first Wellness appointment.

HIPPA Privacy Notice This Notice details how your Protected Health Information (PHI) may be used and disclosed to third parties for purposes of your care, payment for your care, health care operations of the Practice, and for other purposes permitted or required by law. This Notice also details your rights regarding your PHI.