To communicate with the physician securely and access your test results, please sign up with Practice Fusion
Practice Fusion Access to Patient portal
Information forms and List of questionnaires.
Please print and bring any applicable forms/questionnaires to your visit.
Filling out pertinent items ahead of time helps us use our face-to-face time more efficiently.
Some of them belong to other organizations/practices, but I find them useful for our purposes.
If you have any prior records, it is a good idea to bring them to your visit.
Fibromyalgia Questionnaire Lyme questionnaire
Endocrine system questionnaire
Constipation Questionnaire Bowel Assessment Patient Questionnaire
Insomnia Screening Questionnaire
For Women
Menopause Questionnaire (NAMS) Menopause Rating Scale
Incontinence Questionnaire Incontinence Impact Questionnaire
Female Sexual Function Index Sexual Satisfaction Survey
Hot Flash Assessment scale Hormone deficiency test
Metagenics Women’s Health Questionnaire
For Men Only
ADAM Questionnaire plus additional questions Andropause Quiz
Priapus Shot Consent form (“P” Shot)
Male Hormone Questionnaire and Consent
Diet Information Links
The Virgin Diet Quick Start Guide The Virgin Diet Cookbook
Virgin diet sugar impact scale Virgin Diet, Where Dairy and Gluten hide
Paleo Diet Plan Crossfit Quickstart
GAPS diet overview A guide to being underwhelmed on the GAPS diet
Pounds and Inches Original HCG diet protocol
Miscellaneous Information Links
Low Dose Naltrexone Low Dose Naltrexone info Low Dose Naltrexone Consent form
Female Sexual Function
Addyi Pre-Authorization form Addyi discount card Addyi Consent Form
