Skip to content

Paperwork for Patients

Here is all the paperwork to get started in our office.  Please let us know if you need any help by emailing us at or texting us at 919-585-4885

New Patient Paperwork:

AFC Adult New Patient PPW

AFC Pediatric New Patient PPW

AFC Auto Accident PPW

Nutritional Consultation Standard Process Forms:

Toxicity Questionnaire

Stress Assess Questionnaire

Systems Survey Form

Daily Record of Food Intake

 Additional Forms:

AFC Auth to Release Medical Records


Add Your Comment (Get a Gravatar)

Your Name


Your email address will not be published. Required fields are marked *.