Intake Portal

Patient Intake Forms

Save time at your initial evaluation by downloading and completing these forms prior to your arrival.

Required Documentation

Medical Intake & History

Comprehensive physiological screening required for all new patients prior to initial 90-minute decongestive evaluation.

Note: The PDF download links are temporarily disabled while we migrate the latest 2026 HIPAA-compliant documentation versions. If you have an appointment this week, forms will be provided to you physically in the clinic!

Ready to accelerate your cellular healing?

Skip the trial-and-error. Reserve your comprehensive 90-minute evaluation with Jeana Kaufman to map out your intensive decongestive baseline.