Click the link below to open and print this .PLEASE remember to bring this completely filled out at your first visit. Or scan and email to me it is VERY important.
- Health History Questionnaire (PDF format) for musculoskeletal and joint pain only.
- Male Intake Questionnaire (PDF format) for functional medicine bioidentical hormone, and lifestyle medicine of chronic disease.
- Female Intake Questionnaire (PDF format) same for functional medicine, bioidentical hormone replacement and lifestyle medicine.