ONLINE

Forms

New Patient

forms

Please download and print the appropriate form(s) below. 

Forms may be emailed back to us prior to your scheduled appointment or you are welcome to bring the completed form to your appointment.

PRENATAL

For patients that are currently pregnant

NEWBORN

for children up to 12 months

TODDLER

for children ages 1-3

PEDIATRIC

For children ages 4-17

WOMENS

HEALTH HISTORY FORMS

MENS

HEALTH HISTORY FORMS

FURTHER FUNCTIONAL MEDICINE FORMS

Please be aware that all of these forms are not required or necessary to begin care.  Dr. Lauren may request these additional forms to be completed should it seem appropriate.  If you would like to complete these forms for further assessment, please be aware there may be additional fees for time spent reviewing the additional information.

Stress Profile

Gut Health Questionnaire

Toxicity & Detox Assessment

Metabolic Assessment Forms

Genetics and Family History

Hormone Health Status

Candida Survey

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