Please complete this form the best you can. Upload your blood lab test results for a wellness evaluation and 2nd opinon. In addition, please upload pictures of any nutritional supplements you are currently taking at the end of the form.
Thank you for the exchange, Dr. Rebecca
UNDER 18? If the appointment is for a minor, forms must be completed by a parent or guardian and must include their signature. If you are a guardian, it is important that you bring the court ordered paperwork with you for the minor's first visit.