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  • Nutraceuticals Store
  • Contact
  • Home
  • About
  • Services
    • Functional Medicine
    • Hormones
    • Thyroid Management
    • Women’s Sexual Health
      • Female Shot
      • EmpowerRF
      • VTone
      • Morpheus8V
      • FormaV
      • Morpheus8
      • Tone
    • Men’s Sexual Health
    • Weight Loss
    • Aesthetics
      • Laser Treatments
      • Hydrafacial
      • Fillers
      • Wrinkle Relaxers
      • Hair Restoration
      • Body Contouring
      • Facials and Peels
      • Skin Pen
      • Skincare
    • IV Therapy
      • IV Therapy Menu
      • Chelation Therapy
  • Nutraceuticals Store
  • Contact

Forms and Information

Patient Resources

New Patient Forms

  • Authorization to Disclose Health Info
  • HIPAA Release Form
  • No Show Policy
  • Patient History Form
  • Patient Portal Agreement Form

Educational Documents

  • Food Antigen Testing Patient Education
  • All About DIM
  • Leaky Gut Protocol and Education

Diet Information

  • Keto Food List
  • The Candida Diet
  • The Paleo Diet
  • Paleo Protocol Approved Helpful Products
  • Elimination Dietary Protocol
  • Autoimmune Elimination Dietary Protocol
  • Whole 30 Diet

Additional Forms

  • Food Allergen Survey
  • Post Insertion Instructions for Women - Pellets
  • Post Insertion Instructions for Men - Pellets
  • Phentermine Informed Consent

These documents are PDF documents and require Adobe Acrobat. 

If you need Adobe Acrobat you can download it for free here:

https://get.adobe.com/reader/

Patient Portal

Hours

  • Monday - Thursday: 8:00am - 5:00pm
  • Friday: 8:00am - 3:00pm
  • * Closed for lunch from 12:00pm to 1:00pm
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