Forms

Before your first appointment, please complete the New Patient Intake Form to ensure your visit is as personalized and productive as possible.

We’ve also provided a few other forms for your convenience, mostly related to supporting efforts you may choose to take to request reimbursement from your health insurer. As a reminder, we do not take health insurance. We provide the forms pre-filled for your convenience only.

Please complete this form before your first appointment, unless you’ve already filled it out through the patient portal.

While it may feel lengthy, this form helps Dr. Carriere understand your health history, goals, and lifestyle—so your initial consultation can be as focused and effective as possible. Fill it out as thoroughly as you can

👉 Download the New Patient Form (PDF)

👉 Or complete it via the Patient Portal

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    PureCapsPro (formerly Pure Encapsulations) is designed with patients in mind, offering a convenient one stop shop of the highest quality dietary supplements and rehabilitation products.

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  • Designs for Health

    Designs For Health believes in science-based nutrition and natural medicine, developing health products without compromise, and advancing the way education and technology support wellness for all.

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