Forms

Initial Visit

Adult Intake Form

Please download and print the adult intake form before your initial appointment and bring in the completed form with you to your initial appointment.  It will just save you a bit of time and allow you to start the appointment immediately.

 

First Follow-Up Visit

7 Day Diet Diary

Please download and print the 7 day diet diary form and fill it in with everything that you eat and drink over the next 7 days.  This allows Dr. Kwok to assess your daily dietary habits and make dietary recommendations based on your individual needs.  

Alternatively, you can either keep a running email on your smartphone and email it to Dr. Kwok at the end of the 7 days, OR you can download a free app such as MyFitnessPal and share your Daily Diet with her at the end of the 7 days.

 

Review of Systems

Please download and print the review of systems form and email it to Dr. Kwok once you complete it.  This gives you the chance to expand on any condition or symptom that may have arisen in the past or present, and allows Dr. Kwok to get a whole "big picture" of you individual case in order to put all of the puzzle pieces together.

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