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Becoming a new patient

We are grateful to have you and look forward to helping you to feel GREAT!

If you haven’t already, we’d like to encourage you to fill in the Patient Information Form accessible here. It could potentially take up to 30 minutes to fill out but will significantly speed things up when you get into the room to see Dr. Wilcox. Let’s work together to make this an effective and efficient experience for the both of us so we can help get you back to feeling like your best self! If you only have 5-8 minutes available, we do offer a shorter form here. We only ask that you finish the second half of the form which we will provide at a later date. 

Please fill out the forms below

HEALTH HISTORY QUESTIONNAIRE*

*The Health History Questionnaire could take up to 30 minutes to fill out so please plan accordingly. Filling this out will significantly speed things up when you get into the room to see Dr. Wilcox.

PAYMENT POLICY RELEASE FORM
INFORMED CONSENT FORM
PRIVACY PRACTICES NOTICE FORM

Conditions We Treat

  • Fatigue
  • Weight loss and weight gain
  • Cognitive issues, foggy head, poor memory
  • Depression, anxiety, lack of motivation
  • Parasites, constipation, diarrhea, loose stool, bloating, flatulence, belching, acid reflux, parasites, bacteria, Candida yeast, mucus, pus, and other digestive complaints
  • Lyme disease, Lyme coinfections, Toxoplasmosis, Candidiasis, fungal infections and other systemic infections
  • Colds, flu, lung infections, chronic cough, asthma, Valley fever, nasal and sinus infections, and other respiratory infections
  • Sexual function optimization, female and male
  • Back pain, neck pain, shoulder pain, and other musculoskeletal pain and stiffness
  • High blood sugar, diabetes
  • High blood pressure
  • Arthritis, rheumatoid arthritis, joint pain and inflammation, joint degeneration, partial muscle, tendon and ligament tears and stretches
  • Rashes, itching, eczema, acne, dermatitis, fungal infections and other skin disorders
  • Lead and mercury toxicity, and other toxic exposures
  • Bioidentical Hormone therapy including estrogen, testosterone, progesterone, oxytocin, thyroid, cortisol, DHEA, and adrenal fatigue.