Womenโ€™s Health Form

Use of Your Information

The information you provide is for the sole purpose of your private consult and will only be used for the purpose of the private consult. You are providing this consent for any information you have provided in the past including the initial Health History Form or any follow-up forms prior to this one.

Terms and Conditions

Medical Disclaimer

Privacy Policy

Welcome to Health Matters

To address your well-being as thoroughly as possible, please answer the following questions in as much detail as you can.  This will make our sessions more productive and help ensure that we utilize our time together to your maximum benefit.