Forms

Herbal Consultation Forms

Herbal consultation is a detailed investigation into your chronic health condition.  We use principals from Traditional Chinese Medicine (TCM). 

3 step process:

  1. Fill out the Herbal Consultation Form.  This will provide detailed information into your health condition and allow us to monitor changes and healing progress. 
  2. Once the form is filled out, return it to our office.  Our herbalist will review your health history, determine a diagnosis as per Traditional Chinese Medicine protocol, and develop a treatment plan for you.  You will be notified when this is completed.
  3. Schedule an herbal consultation appointment.  this should be brief 15-30 minute consultation.  Our herbalist will perform a pulse and tongue diagnosis  to confirm the diagnosis and will discuss herbal and diet & lifestyle recommendations.

Fill these forms out before starting the supplements

Health Questionnaire Natural Wonders Healthcare

SF 36 Survey
MYMOP initial form

Fill these forms out in weeks 4, 8, and 12 after starting supplements

Health Questionnaire Natural Wonders Healthcare
SF 36 Survey
MYMOP Follow Up Form