1st Day Paperwork - Required (Adult)

Please fill these out as complete as possible as the doctor needs to know your history and current sick/health status.

Patient Application Form

HIPPA Privacy Consent Form

Metabolic Assessment Form

Neurotransmitter Assessment Form

If you suffer from more than 3 symptoms please fill out our additional symptoms form:

Additional Symptoms Form

If you have suffered from an automobile accident please fill out this additional form:

Automobile Accident Form

1st Day Paperwork - Additional For Children

Informed Consent to Evaluate a Minor Form

Neurotransmitter Assessment Form (Child)

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Answers! offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.