New Patients:
Please complete our Individual (Adult and Child) New Patient Questionnaire.
Follow-up Patients:
Please complete a brief Follow-up Patient Questionnaire prior to each follow-up appointment.
Clinical Questionnaires (if requested by Dr. Patel only):
- Horowitz Lyme-MSIDS Questionnaire
- Medical Symptom/Toxicity Questionnaire (MSQ)
- Mold Toxicity Questionnaire
- Promis – Global Health Questionnaire (Ages 13+)
- Release of Medical Records (From another facility to Healing Family Functional Medicine NC)