Intake Forms & Instructions
All New Patients: Please complete the necessary forms below. If your visit includes Urinalysis (BTA) or Thermography, please review all instructions prior to your visit.
Instructions for urinalysis (BTA) and Thermography are below.
All Established Patients: If your visit includes Urinalysis (BTA) or Thermography, please review all instructions prior to your visit. Instructions for urinalysis (BTA) and Thermography are below.
There are two ways to complete these forms:
1. Online – fill out the form online. Save or download the completed form, then email it to appointment@longevityhealthcenter.com or bring the completed form to your appointment.
2. Print the forms at home, fill them out by hand and bring the completed form to your appointment.
3. If you are not able to complete the forms ahead of time, please plan to arrive at our office 20 minutes early.
BTA Urinalysis Prep Instructions
If your appointment includes a BTA urinalysis (Standard or Comprehensive) please review the BTA urinalysis instructions below.
Thermography Prep Instructions
If your appointment includes thermography (Select or Comprehensive) please review the thermography instructions below.
HOCATT Prep Instructions
· Be well rested – No strenuous exercise just prior to HOCATT
· Do NOT fast – Eat a LIGHT meal within 2 hours of your HOCATT
· HYDRATE!!! Within 12 hours of your HOCATT please try to consume at least 70 oz. of pure water. (6 – 12oz glasses)
All medication & supplements should be taken 4 hrs. prior or 4 hrs. after a treatment.
Avoid alcoholic beverages within 8 hours
Therapy Form
If your appointment includes ACUPUNCTURE, FSM, MASSAGE, ASSISTED LYMPH THERAPY, THERALASE (Red Light Therapy) please review the instructions below. New Patients, please complete the intake form.
Directions
Get printed directions to Longevity.
