New Client Paperwork

Note:  Microsoft Excel is required to open and complete these forms. If you do not have access to this software scroll to the bottom of the page and print and complete the new client paperwork form we have made available in PDF form. You may scan, mail, or take pictures and email the completed intake form to us.

Medical History Form

Thyroid Stress Indicators

Adrenal Stress Indicators

Terms of Service

If you are unable to open and complete the above Microsoft Excel documents please click the button below to access our “New Client Paperwork” in PDF form. Please print and complete the form. Once complete please send to us. Available options to send the completed paperwork: scan, mail, take pictures and email.

Jeff Hoyt  515-975-9561  Jeff@TheResetClinic.com

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The information contained on our website, blog, programs, services, and/or products is for educational and informational purposes only and has not been evaluated by the Food and Drug Administration. It is not intended to diagnose, treat, cure, or prevenet disease. Please seek medical advice from your doctor.