1) Please complete the following forms for CEASE Therapy. Once we have received all requested forms, we will contact you to set up your initial appointment.

• CEASE Patient Questionnaire

• Health Questionnaire

• Consultation Agreement

• Patient Disclosure

• Payment Authorization

• CEASE Patient Checklist
  
  

2) Please complete the following forms for Constitutional treatment.  Once we have received all requested forms, we will contact you to set up your initial appointment.

• New Patient Questionnaire

• Health Questionnaire

• Consultation Agreement

• Patient Disclosure

• Payment Authorization