Patient Intake Form
Thank you for attending our dinner presentation and deciding to take action to move forward and achieve your health goals. Please fill out the patient intake form and the accompanying wellness evaluation form. Be sure to submit them 24 hours before your wellness consultation, so Dr. Dae will have time to review them and create a wellness plan for you before you arrive to the office.
We look forward to serving you and coaching you to achieve your health goal!
Please also take a moment to complete the Wellness Evaluation Form.