1. New Patient Health History Form – Required

patient-forms-imageThis form gives the history and current state of your health and pertinent health information to effectively manage your specific case.

Intake Form

Office Policies

Nutritional Counselling

Dry Needling Consent

2. Optional Symptom Surveys & Toxicity Form

This form gives us more information about your symptoms and environment necessary for patients interested in a more holistic treatment incorporating supplements and dietary modifications.

Symptom Survey
Toxicity Questionnaire

3. Neurotransmitter Questionnaire

This forms gives us more information about the health of your neurotransmitters necessary for patients wanting a more holistic treatment incorporating supplements and dietary modifications.

NTAF-fillable