Forms

What to bring to your initial appointment
  • Completed Integrative Health History Questionnaire form and Horowitz Questionnaire form (below)
  • List of all medications and supplements that you are currently taking
  • Copies for Dr. Brian of any recent labs or imaging that you have had done in the past 2-3 years
  • Feel free to bring a friend or family member with you if you would find that would be helpful
Please download and fill out the appropriate new patient intake forms below
  • Download the Environmental Exposure Questionnaire
  • Download the Horowitz Questionnaire
  • Download the Medical Symptom Questionnaire (MSQ)
  • Download the Neurotransmitter Questionnaire
  • Download the Toxin Exposure Questionnaire
  • Download the Credit Card Authorization Form

Cancellation Policy
Please be courteous, and provide 24 hours notice for all cancelled appointments. This helps ensure that we can meet the needs of all of our patients who are waiting to get an appointment. There will be a cancellation fee of 50% of the office visit for patients who no-show and less than 48 hour cancellations.