In order to expedite your first consultation, please download the forms below and bring them with you at the time of your appointment. Any questions, feel free to contact us.

Note:  All forms are in PDF format, if you cannot view the files, you must download Adobe Reader for free.

Could you benefit from 21-day Purification Program?

Are you a good candidate for purification? Our Toxicity Questionnaire helps your practitioner assess your potential need for the Purification Program or other Standard Process or MediHerb products. It only takes a few minutes of your time. Print off or email your results and give them to your health care professional for evaluation.

Fill it out now!