Please click the link above to download your forms. All forms must be completed and received by our office 7 days prior to your initial examination.
Please take your time in filling these forms out completely. Some of the questions will seem redundant. You may notice that the same question is asked in different areas of the forms. The reason being; many symptoms can be caused by a number of different mechanisms. This is largely why I don’t treat symptoms, why then I require lab work and why I perform lengthy examinations. Figuring out the mechanism behind the symptom is labor intensive, but it makes my treatments specific and effective.
Patient Records Request & Release
New Patient Intake and History
Adult Metabolic Assessment Form_Electronic
Adult Health Assessment Form_Electronic
Child Assessment Electronic PDF
Functional Hemisphere Imbalance Checklist
Patient Records Request & Release
In health,
Dr. Darcy D. Dane