I Want To Become A Patient

For patients who would like to schedule IV Ozone Therapy, PRP, Trigger Point & Joint Injections, Hair Restoration, and Musculoskeletal Consults, please complete the Procedure Intake Form. Currently, we offer these modalities on Tuesdays and Fridays and there is no wait list.

For patients who would like to be seen for Functional Medicine, Family Practice, or Membership, we are grateful that you would like to join The Functional Medicine Center. We kindly ask that you complete the medical intake form to get the process started.

Please allow us 7-10 days to review your intake form. If we decide that we are a mutually good fit, we will ask that you complete a few more forms – the communication policy, the privacy policy and the financial agreement via our patient portal. Then, we will call you to schedule your first appointment. Because of our commitment to provide the best possible care and service to our current patients, we may not be able to schedule your initial visit for several weeks from the time you complete your intake form. We will let you know this as honestly and transparently as possible after we review your forms.

Choose your intake form using buttons below. For prospective patients over 18, use the adult intake form. For prospective patients under 18, please use the pediatric intake form.

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