Patient Information Form


Patient Information Form

Download the New Patient information form and Health Assessment Questionnaire from the link below and complete all information and questionnaires before your consultation. The forms should be emailed back to the practice before your appointment. This will save you time and allow the doctor to evaluate your needs in greater detail and focus on treatment.  Email to:


The Health Assessment Questionnaire will take about 30 minutes to complete. Please complete at least 48 hours before your appointment. Questionnaires not completed on time will not be discussed.  Keep and save file in excel format when emailing  back

Health Assessment Questionnaire will give you the following information:

  • if you want to get to the bottom of your problem
  • find out your nutritional deficiencies
  • see what area of your body would be best to address first for improving your health


DR SANDRA SQUARA new patient documentation

Click here : Patient-Form-Dr-Squara-2017