New Patient Forms
Application for Care
Click here to print the Application for Care form, and fill it out before your first visit.
Application for Care (3 pages) (11-03-20)
Cancellation and Return Policy
Please note our Cancellation and Return Policy before your first appointment.
Coming Soon – Please call 320-864-8000 with questions.
Nutritional Forms
To be used only when directed by your doctor. Please call 320-864-800 with questions.
Adrenal Fatigue
Coming Soon – Please call 320-864-8000 to request this form.
Daily Record of Food Intake
Use the following link: Daily Record of Food Intake Form (SP)
Symptom Survey
Use the following link: Symptom Survey Form
Toxicity Questionnaire
Use the following link: Toxicity Questionnaire
Other Forms
Autonomic Nervous System Chart
Use the following link: Autonomic Nervous System Chart
Spinal Nerve Function Chart
Use the following link: Spinal Nerve Function Chart