Welcome. This form contains important instructions for all new patients. Please take the time to read carefully.
Please complete ALL information. We will provide you with a receipt to submit to your insurance carrier.
Explain to us your nutritional habits so we may better prepare you.
Please note: Many of the tests you will have on your first visit will be based on the evaluation of this questionnaire. Please take your time and answer thoroughly.
You can find out whether you have osteoporosis or if you should be concerned about your bones by getting a bone density test.
Our simple test to help assess your current state of healthiness.
Copyright 2014 Center for Balanced Health | All Rights Reserved