Patient Resources and What's New
New patient packets may be downloaded and completed prior to your initial visit. The completed packets may be emailed, faxed, or mailed to our office prior to your initial visit or, you may bring the completed packet with you to your initial visit.
- Adult Medical Questionnaire - 1/3
- Adult Medical Questionnaire - 2/3
- Adult Medical Questionnaire - 3/3
- Yeast Questionnaire
- Pediatric Patient Information
- Exposure History Form
- Environmental Sensitivity Questionnaire
- Fibromyalgia Impact Questionnaire - 1/2
- Fibromyalgia Impact Questionnaire - 2/2
- Life Stress Questionnaire
- Medical Symptoms Questionnaire
- Thyroid Questionnaire
- Toxin Exposure Questionnaire - 1/2
- Toxin Exposure Questionnaire - 2/2
Please visit these websites to purchase your supplements:
Brighteon Store -- Health Ranger https://bit.ly/3EilXoz
Metagenics http://LDEramo.metagenics.com/store
Pure Encapsulations http://purerxo.com/deramofamilymedicine