Patient forms
New patient forms.
Save time at your first visit — download, print, and complete the forms below before you arrive. All files are PDFs and can be viewed with Adobe Acrobat Reader.
Patient Information Form
PDFNew patient intake — history, contact information, and consent. Bring this completed to your first visit.
Metabolic Intake Form
PDFRequired for metabolic health and weight-loss consultations. Captures lifestyle, nutrition, and symptom history.
Wellness Evaluation Form
PDFDetailed wellness assessment covering the Three T's — thoughts, traumas, and toxins.
Ready to book?
Call to schedule at either of our Ohio locations.
Call 419-994-5222