Forms & Feedback

Please download and print the appropriate forms related to your condition—all potential patients are required to complete the necessary forms prior to their first visit.

Ideally these should be completed at least a few days before arriving at the office. This is a comprehensive evaluation of your personal lifestyle, diet, medical and dental history. I also require copies of any recent laboratory (blood) and imaging reports (x-rays, CT scans, MRI’s, etc) if any. Education is key here, so the more information we get, the better. By filling out our forms ahead of time, it saves you time and money and allows me to efficiently review areas that may require greater attention. Please download and print the appropriate forms related to your condition/type of visit requested below. Once completed, mail (or bring them) to the office so we can determine the time and type of visit needed.

Consultations are primarily an information gathering stage to help me design a custom program suited to your needs. Ideally, these are done in person, but can also be done over the phone if distance is a concern. However, phone consultations are more limited compared to in-person visits where I also perform a nutritional and metabolic examination.

#1 Policies and Procedures

#2 HIPAA Regulations

#3 Nutritional and Metabolic Evaluation

#4 Metabolic Assessment

#5 Chiropractic Evaluation

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Our Health Programs

A complete wellness program for those with concerns, risks, or active cardiovascular issues.
Our diabetes & blood sugar balance program is a comprehensive metabolic, immunological and functional medicine system that addresses underlying causes. MUCH more than just low-glycemic diets and gymnema herbs!
Our 5-STEP IMMUNE RECOVERY PROGRAM is focused on balancing and restoring vitality to your immune system. The program is designed for those with severe immune challenges.
Using the best of constitutional, cellular, neurological and energetic technologies for optimal wellness!
*These statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.

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