Click on form to open the page, then print.

New Patient Case History  Please print, fill out completely, and bring with you to your first visit.  This will save you time and allow us to get a more complete history.

Comprehensive Wellness Questionnaire   The purpose of this questionnaire is to comprehensively evaluate each of your body's organ system over the last six months.  Please note that if the symptom or event has not occurred within the last 6 months, then leave the question blank.

Food Log  Please write down all food and beverages for 7 days.

Basal Temperature Chart  This is to be done before getting out of bed each morning.  Further instructions are on the chart.