Client Forms

Please select the form(s) needed and have them filled out before your appointment time.

LifeStyle Education

• Food Target Chart
• Symptom Checklist for General Health
• Symptom Checklist for Detoxification
• Symptom Checklist for Hormones for Men and Women
• Symptom Checklist for Thyroid

Preparation Forms

• AlfaThermo Patient Test Prep
• Blood Work Prep
• InBody Test Prep
• Hormone Pellets (BIOTE/EvexiPEL) Male Consent Form
• Hormone Pellets (BIOTE/EvexiPEL) Female Consent Form
• Emsculpt NEO
• EmSella

MIscellaneous Forms

• Authorization for Use and Disclosure of Protected Health Information

Martha Bray, FNP-BC, APRN

Shauna Bennee, DNP, FNP-C, APRN

• New Client Registration and Consent Form
• Therapeutic Lifestyle Program
• Health Profile Questionnaire
• Detox Questionnaire
• Hormone Questionnaire
• Thyroid Questionnaire

Lisa Porter, LMT

• Massage Consent Form

Joel Smith, LMT

• Massage Consent Form

Melodee Westmoreland, LMT

• Massage Consent Form

Trey Loftis, MS, ATC, LAT

• New Client Form

Dave Woolston

• Forms-Consent-Woolston