For our new Patients we have made a resource center to speed up the process and wait time during your first appointment. Please take a moment to download the forms below prior to your first visit to our office. If you are an existing Patient you may find useful resources below. Please review our services to determine if there is a questionaire that corresponds and needs to be filled out prior to your next office visit.
You may upload your completed paperwork through our website or email the completed documents to firstname.lastname@example.org or use our secure fax at 806-722-3185.
Patient Forms are all listed below and begin with LIMA - there are (4) documents in our new patient paperwork process, please let us know if you have any questions!
Credit Card Authorization (449 KB)
Fibromyalgia Questionnaire (220 KB)
IBS Questionnaire (541 KB)
Infertility Questionnaire - Men (597 KB)
Infertility Questionnaire - Women (458 KB)
Ketamine Disclosure (112 KB)
Ketamine Procedure Consent (119 KB)
Medical Records Release (45 KB)
Menopause Questionnaire (237 KB)
New Patient Consent Form (36 KB)
New Patient History (345 KB)
New Patient Registration Form (52 KB)
New Price List (145 KB)
PMS Questionnaire (224 KB)
Prana Sample Report (4111 KB)
Prostatitis Questionnaire (313 KB)
Sleep Questionnaire (298 KB)