Book an Appointment is as Easy as 1-2-3
1. Download the Intake and Service Option Form
The first step is to download the current Intake and Service Option Form (dated Jan 1, 2026) to your computer.
This form outlines all services we provide and their respective costs.
Note: If you plan to trial a 2:1 Therapeutic Ketogenic diet for physical or mental health, please read this page before sending in the Intake and Service Option Form, as there are additional documents required.
Note: If you want a password-protected form, please email our office (email address is on the regular Intake and Service Option Form).
2. Complete the Form
The second step is to complete the form on your computer, tablet, or smartphone. For a Windows device, use the free Adobe Online tool, or for a Mac device, use Preview.
Need help? Step-by-Step Instructions here.
NOTE: This form dovetails with our accounting and charting system, so please type your name on the signature line (do not use electronic signature features).
Note: Download the $50 off New Year’s Special coupon here and email it to the office along with your completed Intake and Service Option Form. Coupon valid only from January 1, 2026, to January 31, 2026, inclusively. Some conditions apply.
3. Email Your Documents
The third step is to email your completed Intake and Service Option Form to the email address on the first page of the form (see picture below). Please be sure all boxes are completed.
NOTE: This form dovetails with our accounting and charting system, so please do not scan the form before sending it back.
Lab work must be received before booking services.
