Online Paperwork

LeMay New Patient Process Infographic

We offer our paperwork online so you can complete it in the convenience of your own home.

Below are the essential forms we use.

New Patient Intake Forms

  • New Patient Comprehensive Intake Form

    All new patients must fill out this form.

  • Heart Sound Recorder Testing Questionnaire

    All new patients must fill out this form.

Functional Intake Form

Below are Functional Intake Forms and not for all new Patients

  • Female Hormone Evaluation - Menopause

  • Female Hormone Evaluation - Perimenopause

  • Female Hormone Evaluation - Reproductive Years

  • Female Youth Assessment Form (Cycling)

  • Male Hormone Evaluation

  • Youth Assessment Form

Remote Nutrition Patients:

These are Functional Intake Forms and not for all new Patients

  • ZYTO Hand cradle loan agreement for REMOTE patients

  • SP Stress Assess online fillable form

    As Directed by Doctor (not needed for initial visit):
    SAVE as pdf to your desktop and email to us.

  • Sleep Questionnaire online fillable form

    As Directed by Doctor (not needed for initial visit):
    SAVE as pdf to your desktop and email to us.

Supplement Purchase Intake Form

  • Authorization to purchase supplements

Free Assessment Forms

  • Adrenal Assessment

  • Digestive Assessment

  • Dysbiosis Assessment

  • Toxicity Assessment

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