New Patient Information

"I walked out of your office yesterday feeling terrific. Your warm, yet professional, demeanor made me very comfortable and relaxed. I am very confident that you will be able to make me 'new' again. I am looking forward to working with you."


Thank you for the opportunity to work together towards your optimal health. To help prepare for our first visit together and ensure an efficient visit, please follow these steps:

  1. Please download our Patient Intake Form. Fill out the form as completely as you can and bring to your visit.
  2. Please download the Diet & Lifestyle Diary and the Diet & Lifestyle Instructions.
  3. Make copies of the one page Diet Diary and fill it out for as many days as you can (up to four days and two weekend days would be ideal). Please do not change your eating habits or life style during this time so we can get an accurate assessment of your nutrient intake and current symptoms.
  4. Please gather laboratory reports, diagnostic imaging reports, etcetera, that you have available from your medical doctors. If you do not have copies of these already, we suggest making two copies, one for us to keep in the chart and one for your own records. Feel free to ask your physician to fax them directly to our office at: (631) 421-1059.
  5. Bring in all supplements and medications you are taking to your first visit so we can review them together. Do not ever change or alter dosages of any prescription medications without speaking with your prescribing physician.
  6. Directions and contact information are on our Contact Us page. Feel free to call or email our clinic any time if you have any questions.

Sign up for our Newsletter and Follow us on Facebook for deals, tips, and updates.

Note: All forms are in Adobe Acrobat PDF Format. If you do not have Adobe's Free Reader installed on your system, click here.