Book an Appointment is as Easy as 1-2-3

1. Download the Intake and Service Option Form

For all Routine Health and Digestive Health Services, the first step is to download the current Intake and Service Option Form (dated January 1, 2026) to your computer. This form outlines the services we provide and their respective costs.

For Therapeutic Diet Services, please read below before completing an Intake and Service Option Form.
– 3:1 Therapeutic Ketogenic Diet, please read this page.
– 2:1 Therapeutic Ketogenic Diet, please read this page.
– MCAS, hEDS, or POTS, please read this page.

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 all the boxes on 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.

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 (see picture below). Please be sure all boxes are completed, and please do not scan the form before sending, as it is needed ‘as is’ for our charting and accounting system.

NOTE #1: If sending Intake and Service Option Forms for more than one person, please send them in separate emails, with the relevant attachments.

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