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Important Info

Dr. Bogazot D.C.  offers his clients an affordable, effective, simple, and safe way to test your body’s chemistry through blood, saliva, hair, and urine without having to visit a doctor.

Nutritional recommendations can be given through a telephone consultation.

Dr. Bogazot does not diagnose nor treat disease.

W.A.P.F. members receive a substantial 5% discounted rate for consultations. 

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


 
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Balancing Your Body Chemistry
 

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