NEXT STEP: COMPLETE YOUR INTAKE FORMS

Complete the forms that best apply to your areas of concern.  Not sure which form to complete?  Send us your questions!

FUNCTIONAL
MEDICINE

  • Functional Medicine Intake
  • Consent Form

INTEGRATIVE
PSYCHIATRY

  • Integrative Psychiatry Intake
  • Consent Form

PRECODE
+
rECODE

  • ReCODE Intake Form
  • ReCODE Patient Questionnaire
  • ReCODE- AQ 21
  • Consent Form

What's next?

Scheduling

Once your intake forms are received and reviewed, we will reach out to discuss next steps.

Questions?

Contact us at info@myhealth101.org or 781-800-4138