Forms and Information for New Patients

Case History

To save some time when coming into the office please download & fill out Case History Form here.

Nutritional Symptom Survey


Fill Out on Your Computer and Email:

1. Download the PDF file
2. Open it and fill in all the information.
3. Click each section and boxes to select.
4. When you're done, save the file and email to Bonnie:

Print and Take With You:

1. Download the PDF file
2. Print the file fill it out and take it with you to you appointment.


Colorado Springs Location: (719) 640-5267 | 525 N. Cascade Ave, #132, Colorado Springs, CO 80903
Lakewood Office: (303) 232-1178 | 7610 W 5th Ave, Ste 102, Lakewood, CO 80226