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First Line Therapy Forms

Complete these 4 forms and fax or e-mail them to our office prior to your initial FLT visit.  This will save you time and allow you to get the most from your visit.  The Health History is designed with a nutritional slant. If you have completed the patient history form in our office for prior treatment please complete this form as well .  The Health Profile will give us a very good idea as to your present status. Do your best with the Food Journal, at least 3 days.  Do not get bogged down with the amounts of each food eaten.  The foods and the time of day will be most helpful.  Any questions please call the office and we will answer your questions.

BELOW ARE LINKS TO DOWNLOAD THESE FORMS:

First Line Therapy History Form

download and print History Form from here

First Line Therapy Food Journal

download and print Journal Form from here

First Line Therapy Health Profile

download and print Profile Form from here

Identi-T Stress Questionnaire

download and print Questionnaire from here



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Locations

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Office Hours

Our Regular Schedule

New York City Office

Monday:

7:30 am-2:00 pm

4:00 pm - 7:00 pm Teaching @ Manhattanville College

Tuesday:

7:30 am-1:30 pm

Wednesday:

7:30 am-2:00 pm

3:30 pm-6:00 pm

Thursday:

7:30 am-2:00 pm

3:00 pm-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Rye Office

Monday:

4:00 pm - 7:00 pm Teaching @ Manhattanville College

Tuesday:

3:45 pm-7:00 pm

Wednesday:

Closed

Thursday:

Closed

Friday:

8:00 am-2:00 pm

Saturday:

Closed

Sunday:

Closed