1st Day Paperwork - Required (Adult)

Please fill these out as complete as possible as the doctor needs to know your history and current sick/health status.

Patient Application Form

HIPPA Privacy Consent Form

Metabolic Assessment Form

Neurotransmitter Assessment Form

If you suffer from more than 3 symptoms please fill out our additional symptoms form:

Additional Symptoms Form

If you have suffered from an automobile accident please fill out this additional form:

Automobile Accident Form

1st Day Paperwork - Additional For Children

Informed Consent to Evaluate a Minor Form

Neurotransmitter Assessment Form (Child)

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Answers! offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

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