IMPORTANT! PLEASE READ FIRST.
Are you a 'NEW' Nutrition/Functional Medicine Patient?
Please fill out forms (see below) PRIOR to scheduling, they must be sent in and reviewed prior to making any NEW PATIENT appointment. You will receive a call or email to schedule your initial appointment after I review the forms. For current/active patients, no forms are required, unless it's been over 4 years since your last appointment. In that case, your file is considered 'inactive', and filling out new forms are required.
For currently active Nutrition/Functional Medicine patients, you can also schedule your own appointment online through our website at the bottom of the 'Schedule Now' page, by clicking on the blue 'Book Now' button.
As of July 1, 2024
Nutritional/Functional Medicine consultations are via ZOOM or PHONE. Follow up appointments are a minimum of 45 minutes.
Thank you, HealthQuest
Please download and print the forms below, or use the fillable versions—all NEW patients are required to complete and email or mail (not UPS) the necessary forms prior to receiving your scheduling approval for your consultation.
Ideally these should be completed at least a week or more before your appointment. This allows me to briefly review the forms prior to making any appointment. This is a comprehensive evaluation of your personal lifestyle, diet, medical and dental history.
Other requirements: Do you have recent lab test results? If so, I require emailed copies of any recent (no older than 6 months) lab tests and/or imaging reports (x-rays, CT scans, MRI’s, etc) if any were completed. We do not accept CDs. For privacy purposes, we are unable to log on to anybody's online health 'portal'.
NOTE: HealthQuest is not able print your lab or imaging tests if they are mailed to our P.O. Box, as these are kept as part of our secure digital records. So if you prefer to mail hardcopies, please make copies for yourself ahead of time before mailing, as any copies received cannot be returned. Education is key here, so the more information I receive before your appointment, the better.
By filling out the required web intake forms ahead of time, it saves you time and money and allows me to efficiently review areas that may require greater focus and attention. Please download and print the forms below. Once completed, email to healthquest215@yahoo.com so I can determine the time and type of visit needed.
Consultations are an information gathering stage to help me design a custom program suited to your goals and needs. These are done by phone or Zoom, which are especially convenient for patients when reviewing/discussing lab reports, as well as eliminating the need to drive to an office location.
Download the pdf’s by clicking the links below then fill them out by hand or use the fillable forms. Either way, email them back to healthquest215@yahoo.com. For enhanced security purposes, after the appointment is completed, all electronic forms are saved in the HealthQuest hard drive, and all emailed versions are deleted after they are received and viewed.
HIPPA Nutritional Assessment, Metabolic Office Procedures, Metabolic Assessment
Cardiovascular disease (CVD) is a stealth-like process that can strike you, your friends, your family…anyone. It remains the #1 killer in the world, so there’s much to learn about prevention and science-based natural, non-toxic, effective support measures
Call today to set up an appointment start on your path to better health, naturally. (408) 358-2225