New Clients

WHAT TO BRING TO YOUR INITIAL APPOINTMENT

• Please bring a copy of all serum labs you have had done in the last year from your physician, and any functional testing your have had done with an alternative or complimentary health care provider.
• List of all supplements and medications currently taking regularly.
• A three day diet journal; everything you eat and drink for three days. Forms for this are included in the New Patient Intake Packet.
• If you do not have access to a computer, call me at the number above and leave your complete mailing address and I will send the forms to you to fill out before your appointment. There will be a $5.00 fee for this, billed at your first appointment.

Form 1. Pre-Appointment Form

Click here to fill out the Form 1 “Heath and Wellness Pre-Appointment Form” before our first call

Form 2. New Patient Forms and Agreements

Form 2. New Patient Forms and Agreement  (Recommended)

Printable Offline PDF Versions

Print and fill out all the forms and questionnaires below and Mail to: Elizabeth Borg   6426 Kings Mill Ct.  Canton, MI  48187          

• New Client In-Take Form –
• Detoxification Questionnaire
• Patient Information and Office Policies
• Part 2_Notice of Information Practices and Privacy Statement
• DASS Questionnaire
• Food Diary