Evaluation Forms for Initial Functional Appointment

 

 

 

                     

                       

 

The Medical Symptom Questionnaire

                       

Male Intake Questionnaire

Female Intake Questionnaire

 

 

Financial responsibility

                       

                       

 

Telemedicine Consent

 

                       

 

Notice of Privacy Practices

                       

Cancellation Policy

 

 

Frequently Asked Questions

 

 

Functional Integrative Program

 

 

Working with a functional medicine physician

                        

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                         

                               

995 Old Eagle School Rd, Suite 311, Wayne, PA, 19087

484-580-6546 

This website is for informational purposes only and is not a substitute for medical advice, diagnosis or treatment.

Information provided on this website is a property of Functional Holistic Healing LLC.

 

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