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Important Info

 Before you buy another supplement, perform another test, try another diet, or seek the advice of another health care professional, order your Nutritional Health Assessment Today!

 

The N.H.A. is YourCritical Blue-Print to health, without it, one is only guessing in which direction to go.

 

Stop the guessing!

 

I personally Guarantee you'll discover what's keeping you from SUCCESS, in reaching your health care goals

 

Dr. Bogazot does not diagnose nor treat disease.

 

Please read our Disclaimer carefully.

 


To schedule an appointment with Dr. Bogazot, call toll free 877-264-7011 or email us at info@bogazot.com.

Form Download
Downloadable PDF Files Print

Please, select the form you want to download:

(all forms are provided in pdf format - if you don't have Adobe Acrobat Reader installed on your computer, you can download it free FROM HERE )


1. Nutritional Health Assessment

2. Food Intake Questionnaire

3. Symptom Survey Form

4. Informed Consent Regarding Nutritional and Herbal Supplements

5. Functional Medicine Laboratory Testing Informed Consent

6. An Explanation of Our Financial Policy

7. Authorization of the Release of Information

8. Sleep Questionnaire

9. Health Questionnaire (NTAF)

10. Metabolic Assessment Form


 
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Balancing Your Body Chemistry
 

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