Brief Medical History Form

Our services are available Monday-Friday, 9 am - 5 pm.

Mobile any day, clinic hours only on Tuesdays.

We are not able to provide services in Washington, but are happy to schedule appointments for our Washington clients at our clinic hours on Tuesdays.

Please be thorough and accurate with your medical history. We need to make sure there isn’t anything that would interfere with us providing you quality care.