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1 - New Patient Required Forms:
√  New Patient Intake Form - Required 
√  Consent To Treat Authorization - Required
√  Liability Release - Required
√  Notice of Privacy Practices (HIPPA) - Required
(The Notice of Privacy Practices is yours to keep.  We only need a copy of the first page for our records, indicating you have been provided a copy of the document.)

2 - Nutrition Patient Forms:
√  Authorization Release
√  Male

√  Female
√  Youth
√  Youth Authorization Disclaimer
√  Toxicity Questionnaire
√  Nutritional Procedure-Start To Finish
√  Daily Record of Food Intake
(This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!)

Additional New Patient Forms:
These forms can be downloaded and printed prior to your first office visit:

Credit Card Authorization

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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Exclusive Offer - Dr. Toensing's "16-Tips Report" Free

Office Hours

TuesdayBy Appt
ThursdayBy Appt
SaturdayBy Appt
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 9:00 9:00
5:00 By Appt 5:00 By Appt 5:00 By Appt Closed

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