Informational Forms

Click one of the following options to download a single package containing all the needed forms.

Please read and fill out all the forms before your first appointment. Complete details are in the document, 'Instructions': please read it first.

You may either mail, FAX, or email us the completed forms, but we must have them for review 2 days before your appointment. If you FAX or email the forms, please bring the originals to your appointment.

The adult package contains:

  • Instructions
  • Adult Patient Information
  • Informed Consent to Care and Treatment
  • Metabolic Assessment Form
  • Health Questionaire (NTAF)
  • Printed directions

The pediatric package contains:

  • Instructions
  • Informed Consent to Care and Treatment
  • Pediatric Intake Form
  • Health Questionaire (NTAF)
  • Metabolic Assessment Form
  • Printed directions

 

Copyright © 2009 by Michael Shpak. All rights reserved.
7:11 am Thursday 25 May 2017