Patient Forms

Here are some useful forms that you will need as a patient of Natural Balance Wellness Medical Center. As a new patient, it is important to fill out registration and history. After you start seeing us more frequently, having these forms at easy access will be very useful to provide you the very best level of care.

New Patient (Entire Office)

Before you fill out any new patient paperwork, please contact the clinic to schedule your appointment.

New Patient Registration
New Patient History

Existing Precision Medicine Patients (Dr. Boggess & Dr. Soorya)

Dr. Boggess's Follow-Up Form
Subjective Scale

Starting New Supplements
Dr. Soorya's Follow Up Form
Thyroid Questionnaire

Dr. Soorya's Thyroid Follow Up Form

Existing Biotoxin Illness Patients (Dr. Berry Patients Only)

CIRS Follow-Up Form

Dr. Basinger Patients Only

Bioidentical Hormone/New Patient Questionnaire
Bioidentical Hormone Follow-Up Form

Dr. Basinger's Follow Up Form