Forms & Fees

Please print and complete the following forms PRIOR to your initial visit.  By doing so, it will help make better use of your time during the first visit.  Otherwise a paper copy can be provided to you upon arrival at the clinic.

  1. Adult Registration or Pediatric Registration Form
  2. Review Of Systems
  3. Complete, time permitting: Diet Diary (7 day)
  4. Please read the following carefully: Informed Consent, bring a signed copy to your initial visit.

Please prepare:

  1. copies of any lab/blood work that you have, and
  2. a list of all supplements and medications (brand name and dosage) you are currently taking.

 

Fee Structure:

  • Initial 60 min visit $150 
  • Subsequent 60 min visits $145
  • 45 min appointments $110
  • 30 min appointments $75
 
Pediatric Initial visit $115 (45 min)
 

Contact me at  should you have any questions.