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  • Who We Are
    • Legal & Testimonial Disclaimer
  • Who We Help
    • Fertility
    • Thyroid Health
    • Endometriosis
    • PCOS
    • IVF Support
    • Pediatrics
    • Women's Health
    • Acupuncture Injection Therapy
    • Thermography
  • Free Consultation
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BFWC
  • Home
  • Who We Are
    • Legal & Testimonial Disclaimer
  • Who We Help
    • Fertility
    • Thyroid Health
    • Endometriosis
    • PCOS
    • IVF Support
    • Pediatrics
    • Women's Health
    • Acupuncture Injection Therapy
    • Thermography
  • Free Consultation
  • Contact
  • Free Resources
  • Forms
Intake Forms
 New Patients-Please print out the appropriate intake form and complete to bring with you to your appointment.
Women's Health Intake Form
File Size: 346 kb
File Type: pdf
Download File

Men's Health Intake Form
File Size: 336 kb
File Type: pdf
Download File

How can we help you? Our initial consultation is free. Come meet us in person and learn more or call us at 941.720.1485
learn more about the free consultation today

* Individual results vary. No guarantee of specific results is warranted or implied and your results will depend on many factors
​ (
full disclaimer).
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  • Home
  • Who We Are
    • Legal & Testimonial Disclaimer
  • Who We Help
    • Fertility
    • Thyroid Health
    • Endometriosis
    • PCOS
    • IVF Support
    • Pediatrics
    • Women's Health
    • Acupuncture Injection Therapy
    • Thermography
  • Free Consultation
  • Contact
  • Free Resources
  • Forms