Forms & Fees

Intake Forms

For all new patients
Client Intake Form
S.A.T. Testing
Testing Intake Form
Privacy Information
Privacy Consent Form

Forms are now electronic and automatically emailed
to the client at the time the appointment is made.

If you need them please email




Service Fees

First Doctors Visit (60 min) $160.00
Return Doctors Visit (30 min) $80.00.
B12 Injections $20.00.
Sensitivity and Toxicity Testing $150.00
Misc Tests & Services TBD*
   *To be Discussed............................

Patient Handouts

( A )Acid Alkaline Food Chart
Adrenal Gland Dysfunction
Alkaline Broth
Anti-Inflammatory Diet
( B )Bach Flower Questionaire
Basic Treatment Guidelines - Men
Basic Tratment Guidlines - Women
BIA Bio Impedance Analysis Brochure
Blood Type Diet
Brown Rice Cleanse
( C )Candida Protocol Diet
Castor Oil Pack
( D )Diet Diary (One Week)
( E )Ear Candling Instructions
( F )Fiber Foods List
( G )Gemmo Therapy Descriptions
Gout Relief Diet
( H )Homeopathic Remedy - How to take
Hypoallergenic Diet
( I )Immunization Exemption Form
( M )Metabolic Type Test
( N )Nose Breathing
( P )Pelvic Therapy Treatment
Pregnancy Safe Herbs
( S )Salt - How much is too much
Sock Treatment for Congestion
( T )Therapeutic Diet for Cancer Prevention
Therapeutic Diet for Weight Management
Thyroid Questionnaire
( U )Unda Number Applications
Urine Sample Collection Instructions
The patient handouts are intended for use by MNM clients only. They are for information purposes only and should not be used to treat conditions unless supervised by a Naturopathic Doctor or a qualified health care practitioner.