Forms

Below are the forms to print out, complete and bring with you to your appointment.

We will discuss together in advance, which forms are important for you.

If we are doing a phone session, please fax them into the office at 661 297-7343 in advance of your scheduled session.

If we will be discussing health issues, please bring copies for me of any recent blood tests, other relevant tests you want to discuss, and any vitamin/mineral/supplement/protein powders (in their containers), etc.

Thank you and I look forward to helping you achieve your goals!

Dr. Elena 😉

Form 1, Intake

Form 2, Fees/Disclosure (This form will be given to you when you arrive.)

Form 3, Release/Responsibility

Form 4, Notice/Understanding

Form 5, Long Form

Form 6/1, BBC 1

Form 6/2, BBC 2

Form 7, Dietary Food Log

Form 8, MAF

Form 9, NTAF

 

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