Please fill out the following forms. Please note that we need time to analyze the results and prepare for your session so in the event that we receive these after your paperwork due date we cannot guarantee that the results will be ready. If you have any questions please call 925-280-4442 or email firstname.lastname@example.org.
Step 1: Click here for the Intake Form – This will take you to a new page and you will fill out the information. An email will be sent to you and you will need to click a link to finalize the process.
Step 2: You will need to do a food journals for three days. Click here for the food journals.
Step 3: Fill out your Health Assessment Questionnaire Click here for the HAQ.
Step 4: Confirm your HIPAA form Click here to approve the HIPAA.
Step 5: Fill out your Health History Click here.
Note that if you do NOT have MRT Testing (Food Intolerance Testing) as a part of your package then you do not need to fill out the forms below. If you do then we need these forms filled out as well.
Step 6 (if you have MRT Testing): Click here for your MRT Initial Symptoms Assessment.