Forms & Questionnaires

Here are various forms you may be asked to fill out prior to your office visit.

Please click on the appropriate patient form link below to print and fill out prior to your office visit.

 

NEW PATIENT FORMS PACKET

 


New Patient Forms Packet

 

 

QUESTIONNAIRES

 


Adrenal Health Questionnaire: Part 1

 

 


Adrenal Health Questionnaire: Part 2

 

 


Female Hormone Imbalance Symptoms Checklist

 

 


Male Hormone Imbalance Symptoms Checklist

 

 


Neurobehavioral Symptom Checklist

 

 


Thyroid Symptom Basal Temp Test Checklist

Contact Us Today!

Baxter Health Center - A Touch Above
6053 S Fort Apache Road, Suite 100
Las Vegas, Nevada 89148

702-891-8833 Main
702-891-8866 Fax

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