Natural Health Appointments and Forms
Save time! Please download and complete your natural health forms prior to
your Natural Care appointment.
Natural Care Consultations and our tests are available by appointment only.
Professional Consultation Fees:
15 minutes: $30
30 minutes: $60
45 minutes: $90
60 minutes: $120
Dietary supplements are available to our established clients.
Call 405.751.3333 to schedule your appointment and to obtain your evaluation forms.
The following links will allow you to open your appointment forms. You may print them on your printer or save
them to your computer to be printed later.
Please call 405-751-3333 or email to receive any of these forms via fax or
Natural Wellness Screening Packet
This set of forms is typically used for the first appointment. The packet contains: Natural Wellness Screening
Information and Pricing , BIA Information, Client Information Sheet, Medical Symptoms Questionnaire, Xenobiotic
Tolerability Test, Alkalizing Assessment, Context of Care, Information about Keith D. Bishop, Clinical
Nutritionist, Natural Care Services and our Payment Agreement and Cancellation Policy.
Client Information Sheet
This form is used at least once a year to update
your personal basic information.
Health Appraisal Brief
A two page assessment of digestion, liver/gallbladder, thyroid, adrenal, blood glucose and heart function.
Health Appraisal Comprehensive
A six page assessment of digestion, liver/gallbladder, thyroid, adrenal, blood glucose, heart and blood
vessels, mood, immune, urinary tract, muscles, bones, joints, central nervous system and male or female
Elimination Assessment Brief
A brief assessment of digestion that I often used with the Health Appraisal Brief.
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