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





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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