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Please download the appropriate questionnaire. Print and fill it out by hand and return to the office via mail, fax or delivery. Please call the office if you are unsure of which form to use.

Our forms are available in PDF format. If you cannot view these forms after downloading them to your computer, please install the free Adobe Reader.

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Pediatric ASD Intake Questionnaire

For Autism, Aspergers, ADD, ADHD, Development Delay

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Pediatric Integrative Medicine Questionnaire

For Asthma, Allergies and all other medical conditions

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Pediatric Sports Medicine Questionnaire

For Sports Performance Evaluation or Sports Injury Evaluation