Prepare For Your Appointment

PATIENT DOCUMENTATION

Patient Portal

New Patient Forms

Educational Documents

Authorization to Disclose Health Info Form (PDF)

HIPAA Release Form (PDF)

No Show Policy (PDF)

Patient History Form (PDF)

Patient Portal Agreement Form (PDF)

Food Antigen Testing Patient Education (PDF)

All About DIM (PDF)

Leaky Gut Protocol and Education (PDF)

Diet Information

Additional Forms

Keto Food List (PDF)

The Candida Diet (PDF)

The Paleo Diet (PDF)

Paleo Protocol Approved Helpful Products (PDF)

Elimination Dietary Protocol (PDF)

Autoimmune Elimination Dietary Protocol (PDF)

Whole 30 Diet (PDF)

Food Allergen Survey (PDF)

Post Insertion Instructions for Women – Pellets(PDF)

Post Insertion Instructions for Men – Pellets(PDF)

Phentermine Informed Consent(PDF)

These documents are PDF documents and require Adobe Acrobat.  If you need Adobe Acrobat you can download it for free here:

https://get.adobe.com/reader/

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