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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
Brain Function Assessment Form
Brain Health and Nutrition 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)
Answers! offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
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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.