Please download and print the appropriate forms related to your condition—all potential patients are required to complete the necessary forms prior to their first visit.
Ideally these should be completed at least a few days before arriving at the office. This is a comprehensive evaluation of your personal lifestyle, diet, medical and dental history. I also require copies of any recent laboratory (blood) and imaging reports (x-rays, CT scans, MRI’s, etc) if any. Education is key here, so the more information we get, the better. By filling out our forms ahead of time, it saves you time and money and allows me to efficiently review areas that may require greater attention. Please download and print the appropriate forms related to your condition/type of visit requested below. Once completed, email, or mail to the office so we can determine the time and type of visit needed.
Consultations are primarily an information gathering stage to help me design a custom program suited to your needs. Ideally, these are done in person, but can also be done over the phone if distance is a concern. However, phone consultations are more limited compared to in-person visits where I also perform a nutritional and metabolic examination.
Please click the link below to fill out the necessary documentation:
Click the link below to fill out the Brain Function Assessment Form (BFAF):
Brain Function Assessment Form (BFAF)
Click the link below to fill out the Brain Health and Nutrition Assessment Form (BHNAF):
Brain Health and Nutrition Assessment Form (BHNAF)
Having issues with the digital form? Download the pdf’s by clicking the links below then fill them out by hand.
ALL Patients: HIPPA