What to bring to your initial visit
  • Completed Integrative Health History Questionnaire form and Horowitz Questionnaire form (below)
  • List of all medications and supplements that you are currently taking
  • Copies for Dr. Jill of any recent labs or imaging that you have had done in the past 2-3 years
  • Feel free to bring a friend or family member with you if you would find that would be helpful.
  • Any and all paperwork you bring: PLEASE make sure it is printed single-sided
Cancellation Policy

Please be courteous, and provide 48 hours notice for all cancelled appointments. This helps ensure that we can meet the needs of all of our patients who are waiting to get an appointment. There will be a $280 cancellation fee for patients who no-show and less than 48 hour cancellations.

Mandatory Forms
  • Download the Integrative Health History Form
  • Download the Horowitz Questionnaire
Optional Forms
  • Download the Environmental Exposure Questionnaire
  • Download the Medical Symptom Questionnaire (MSQ)
  • Download the Neurotransmitter Questionnaire
  • Download the Toxin Exposure Questionnaire
  • Download the Credit Card Authorization Form