Forms

Notice of Privacy Practices (Click Here)

The Patient Acknowledgement of Privacy Practices documents the patient’s receipt of the Notice of Privacy Practices as required by HIPAA. Only the Patient Acknowledgement form needs to be included in new patient paperwork.

Adult ADHD Symptom Checklist (Click Here)

HPA Axis Questionnaire (Click Here)

Previsit Survey (Click Here)

Self-Care Questionnaire (Click Here)

Sleep Questionnaire (Click Here)

Thyroid Screening Questionnaire (Click Here)

Toxin Exposure Questionnaire (Click Here)