New Patient Forms

New Patient Health History Forms – Required

Please use the link below to fill out your new patient paperwork. This information will be transferred securely to our office for your first appointment. If you cannot load and complete the paperwork ahead of time, please be advised that you will need to fill it out electronically when you arrive for your first appointment.

New Patient Form

Metabolic Assessment


HIPAA Privacy & Payment Agreement Forms – Required

Please download, complete and bring the following forms with you to your first appointment. If you cannot download the forms, please plan to arrive at least 15 minutes early so that you can fill out the paperwork in our office.

HIPAA-Consent for Use and Disclosure of Health Information

HIPPA-Notice of Privacy Practices

HIPAA-Acknowledgment of Receipt

Payment Agreement and Cancellation Policy

Additional Paperwork

Depending on your needs, you may be asked to fill out one or more of the following:

BHRT Consent Form

ePrescribing Consent Form

Female Health History Form

IV Therapy Consent

Male Health History Form