New Patient Forms

New Patient Health History Form – Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! These forms are longer than you might be used to. The more information we have the better. You would be surprised how even simple details can help us in ways you might not realize.

If you could please print off these forms and have them filled out before your appointment it would be greatly appreciated. I do my absolute best to keep patients from waiting for their appointments. Waiting is not fair to you, me, or the other patients. As you’ll see from the intake forms I like to be incredibly thorough in order to provide the highest quality healthcare possible. It is very important for you to be as complete and thorough as possible when filling these out. Often times things you think don’t mean anything are actually important clues. I’ll look forward to working with you soon!

– HealthQuestionnaire Functional Medicine (General intake)
– Dr. Chris Brain Lobe Questions (Neurological)
– Symptom-Survey
– Hipaa-consent HIPPA

Please have all 4 filled out before coming to the office!