WELCOME TO
LIFE HEALING LIFE!

New Patient Intake

The information I'll be asking you for is nuanced, detailed, and extremely valuable for me to get the most accurate holistic picture of your health history and current needs. Imagine each piece of information you provide like a piece of a puzzle - the more pieces you supply, the more comprehensive and exact a view of your big picture I'll be able to create!

Due to privacy, this form can't be saved in progress. Allow yourself enough time to finish in one sitting - typically 40 - 50 minutes for most. Make sure to hit Submit at the very end. Answer every question along the way even if it's simply 'n/a'. If you're providing lab results it'll be helpful if you have them handy.