»»  Forms

For Our New Patients:

Please fill out these forms before your initial appointment or for an offsite evaluation:

  • New Patient Information form (Word)
  • Metabolic Assessment Form (PDF)
  • Child's Neurotransmitter Assessment Form (PDF)
  • Neurotransmitter Assessment Form (PDF)
  • Trauma History Form (Word)

For Our Current Patients:

  • Improvement Report form (Word)
  • 124WaysSugarRuinsYourHealthQuiz (PDF)
  • 147 Ways Sugar Ruins Your Health (PDF)
  • Proof Positive for Throwing Away Your Vitamin Supplements (PDF)

Please Download Adobe Reader to open PDF files.

"And we have made of ourselves living cesspools, and driven doctors to invent names for our diseases"