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Forms

New Patient Form

Are you a new patient? First time coming in for a visit? Then take a minute or two and fill out our New Patient Form. Please bring it in with you to your first appointment.

 

 

Symptom Survey

This helps us get a better understanding of your symptoms so we can help you get back on the road to recovery.

 

 

Toxicity Questionnaire

The Toxicity Questionnaire is designed to aid the practitioner in assessing a patient’s or client’s potential need for a purification program.