If you are beginning your exploration: Please fill out this Preliminary Screening: information we will review during our first phone call. This brief screening form will help me know how simple or complex your health situation is likely to be: prospective-patient-brief-screen
Metabolic Assessment Form: This form has a copyright and can no longer be made available online. Sorry. I will need to email it to you.
Neurotransmitter Assessment Form: This form has a copyright and can no longer be made available online. Sorry. I will need to email it to you.
Child Neurotransmitter Assessment Form: This form has a copyright and can no longer be made available online. Sorry. I will need to email it to you.
Key to categories of MAF/sections of NTAF: maf-ntaf-categories-3 will explain the categories of the MAF and NTAF forms.
For someone with a long-term, complex health condition like chronic pain or chronic fatigue syndrome, please fill out these 2 questionnaires: Chronic Fatigue/Pain/Infection, AutoImmune Syndrome History and Resource Form syndrome-information-form . . . . and Questions on the Course of Illness & Healing, short version: kleinmans-8-questions or the long version: questions-course-of-illness-healing … If you are caring for someone and are filling it out for them, please use: family-course-of-illness-healing-questions . Answering these questions requires some thought and self-examination. The answers will help us chart your healing course more effectively.
Later, I may ask you to fill out this Health History: health-history
Specialized forms for later in our work together:
Tracking allergy and food sensitivity symptoms: symptom-survey-allergies-mrt
Food Log (Abbreviations key: BG = Blood glucose only for those monitoring glucose levels, T = thyroid dose, BM = bowel movement, sup = supplements taken, xer = exercise, sx = symptoms): Food-log-best-w-2-BG.pdf
To track sensitivity to starches and sugars: starch-sensitivity-self-test
Neurological Assessment Form: neurological_assessment_form
Insurance Work Sheet: working-with-insurance — the questions to ask your insurance company to determine what is covered.
The importance of doing testing beyond what insurance may cover: about-testing-outside-of-insurance
Consent-release form so I can discuss your case with your other health care providers: consent-release
To keep track of when to take what supplement: supplement-schedule