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Integrative Consults Paperwork

Please allow yourself at least 7 days to complete all of the paperwork.

Your basic contact information

Your basic medical information that you fill out at most doctor's offices

Standard required paperwork but important for you to review and sign

Standard required paperwork but important for you to review and sign

This form provides me with a more detailed account of what brings you in to see me, what you’ve already done, what your goals are and what aspects of your lifestyle may be helping or hindering your healing. It’s longer and more detailed, so please set aside time to complete this.

You can print this one out and hand write everything you consume over a 7 day period prior to your visit with me. If it’s easier, you can also just keep electronic notes somewhere (I use the notes app on my phone). Please try to eat as close to your usual or normal as possible. If your visit is not scheduled an adequate amount of time in advance, that’s okay, just keep a record for as many days as you can!

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