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Submit your:
new patient paperwork
blood work
x-ray / imaging
drivers license

New Patient Paperwork
Basic Forms:
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Health Questionnaire
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Metabolic Assessment Form
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Food Diary
Milestones Checklists:
United Healthcare Patients:
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United Healthcare - Patient Summary Form
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Back Pain
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Neck Pain
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Arm, Shoulder, Hand Pain (DASH)
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Leg Pain (LFS)
Detailed Metabolic Assessments:
Specialty Forms:
What should I expect?
Initial Paperwork:
Please complete the attached consultation paperwork PRIOR to your upcoming appointment. This will allow for maximum face-to-face time with the doctor.
Recent Blood Work or Imaging:
If you have any recent (6 months - 1 year) blood work, x-rays, or MRI that you think would be important or relevant to your case or condition, please bring them with you or submit early.
We will be happy to review them for a more complete history.
Food Diary:
Our job is to be a health detective. The more information you can provide us, the more clues we have to uncover the possible underlying causes that cause you to feel the way that you do.
Ideally we would like a 3-5 day food diary WITH symptoms & sleep habits.
How to submit paperwork, imaging early:
(1) You may submit the paperwork early via fax (225) 308-9225
(2) Drop us an email
(3) Upload it to the DropBox below
