Please allow yourself an hour to fill out this form. Make sure you send it back as soon as possible to allow the doctor enough time to review it (at least 5 days before your scheduled appointment to avoid cancellations).

​

Prior to your visit we ask you to fill out these comprehensive healthcare questionnaire. The doctor will spend at least an hour before your session reviewing it to optimize the time and quality of your consultation, assess your current state of health, and make a proper evaluation and diagnosis of your condition.