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Home
About Us
Memory Loss
Services
Thermography Testing
Parkinson’s Disease
Personalized Nutrients Therapies
Genomic Testing/Advanced Genetic Analysis
Intravenous Nutrition
ZYTO Scanning
Mold Illness
qEEG
Testimonials
Insurance & Billing
Patient Forms
General Information Form
Health Appraisal Questionnaire
Medical Symptoms Questionnaire
HIPAA Notice of Privacy Practices
Mold Questionnaire
Toxin Exposure Questionnaire
Functional Medicine Matrix
Functional Medicine Timeline
Brain Function Assessment Form
Brain Health and Nutrition Assessment Form
Traumatic Antecedents Questionnaire
Resilience Score Questionnaire
Toxicant Induced Loss of Tolerance (TILT) Survey
Metabolic Assessment Form
Neurotransmitter Assessment
Brain Region Localization Form
Symptom Tracker
Vestibular Localization Form
Patient Medical History Form
Basic Dietary History & Timeline Form
Alzheimer’s Questionnaire
Fertility Assessment Form
Histamine Intolerance Questionnaire
Dementia Severity Scale
Cognition Katz Index Questionnaire
Modified Fatigue Impact Scale (MFIS)
Fatigue Severity Scale (FSS)
Epworth Sleepiness Scale (ESS)
Multiple Systemic Infectious Diseases Syndrome (MIDS )
Brain Injury Vision Symptom Survey (BIVSS)
VAMC SLUMS Examination
Resiliency Checklist
Montgomery & Asberg Depression Rating Scale (MADRS)
Lyme Disease Assessment
Sleep Diary
Patient Health Questionnaire (PHQ-9)
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March 12, 2019
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