Forms

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!