Energy Medicine Bay Evaluation Form – Please fill out if have scheduled a 30 minute Bay Evaluation

Comprehensive Patient Intake Form – Please fill out if you have scheduled a 1hr Private Session

Child Assessment Form – fill out for children under 12 IN PLACE OF the metabolic and neurotransmitter questionnaires at the end of both of the above forms



Please send the above forms along with any recent labwork and/or x-ray/MRI/CAT scan reports – to the HEAL Center at least 2 days before your scheduled appointment- either email them to: [email protected] or fax to : 303-440-4346       If we do not receive all forms in full prior to your appointment- then we will need to reschedule you to a later date.

** also please bring with you to your appointment any nutritional supplements or prescription meds you are taking