Help us to help you. Print and fill out your comprehensive health profile before your consultation.

We understand – no one likes paperwork. That’s why our forms ask only what will help us best assess factors involved with NeuroStructural Dysfunction, along with your health goals.

Each question on these forms provides us with  important insight to help you and your condition. It is comprehensive, so please give yourself at least 20 minutes to complete the questionnaire to the best of your ability.

This information allows us to get right to the core of what’s happening during your consultation and make sure that you’re in the right place for the care you need.

 

The Infant form is for those 0-12 months of age.

The Child form is for those 1-13 years of age.

The Adult form is for those 14+ years of age.

Infant Profile Form

Child Profile Form

Adult Profile Form