As an Integrative Health Practitioner, I look at all the facets of someone’s life, past and present, that could have affected their health. As such, you may find this intake form a lot longer, and a lot more personal than any you have completed in the past. This helps me develop a more complete picture of your health far beyond what you would experience at a typical doctor’s appointment. Please try to answer all questions to the best of your knowledge and ability. I appreciate you taking the time to do this. Remember, no detail is unimportant :)
The form must be completed a minimum of 24 hours before your scheduled appointment.
Congratulations, you are on the path to taking your first step towards health and wellness!
* All information provided is for health education purposes only and is not intended to diagnose, treat, cure, or prevent any disease.
Find out how my services will help you reclaim control of your health, and your life. Free 30-minute Skype consults available.
Click the button below to schedule your time slot.