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Office Forms

New Patient Information Packet  – Detailed information about the practice including fees, services, and policies.

Online Medical Intake Form –   https://fs17.formsite.com/XZlUWG/form1/form_login.html – Digital online intake form to be completed prior to initial consultation.  Must be completed and submitted at least 4 days prior to scheduled appointment.

New Patient – Medical Intake Form – PDF Version – PDF version of Intake Form to be completed prior to initial consultation.  Must be completed and submitted at least 4 days prior to scheduled appointment.  May be completed on computer or printed and completed by hand.

Medical Symptom Questionnaire – Completed prior to Initial Consultation and every visit thereafter.  Monitoring of progress and assists with modifications in treatment.

Diet, Nutrition & Lifestyle Journal 7-Day – Completed prior to the Initial Consultation.  Must be returned at least 4 days prior to appointment date.

Diet, Nutrition & Lifestyle Journal 3-Day – Completed prior to follow up visits.  Must be returned at least 3 days prior to appointment date.

What is Functional Medicine – General information about Functional Medicine.  Provided by the Institute for Functional Medicine.

 

Resources for Natural Pasture-Centered Food:

Natural Feral PigsGrass Fed Cowsfree range chickensGrass Fed SheepUnknown-3

 

For those who want to support our local economy, we have listed some of our favorite food sources here.  These sources offer locally grown food but must be purchased at a farm store or pre-ordered to buy in bulk.  Additionally, supporting local or small farms is good for our environment and supports sustainable agriculture.  

 

Russell Family Farms – All Natural & Grass Fed Antibiotic and Hormone-Free Beef, Beef Jerky, Pork and Eggs
Rock House Farm – Naturally Raised Pork, Rendered Leaf Lard, Wagyu Beef, Lamb and Free Range Poultry
Blue Bird FarmPasture-Raised Organically Grown Beef, Pork and Chickens as well as a Community Supported Agriculture Program (CSA)
Hickory Nut Gap Farm – Grass-Fed, Pasture-Raised Beef, Chicken, and Pork.  Convenient Farm Store and Operational Farm with Activities for the Family.  They also ship directly to your door (frozen).

 

For Convenience, these farms offer  online purchase and are great quality meat products for the freezer.  These suppliers ship direct to your door:  We have purchased from them ourselves.  
US Wellness Meats Huge Selection of Grass Fed, Naturally Raised Meats, Seafood and More
Tendergrass Farms – Large Selection of Grass Fed Beef and Organic Pasture-Raised Chicken and Pork and More
5280meat.com – Grass-fed beef, pasture-raised pork and lamb.  

 

Excellent resources for pantry items, fermented foods and healthy snacks:
Wild Mountain Paleo Market – Large selection of grain free, dairy free food options; fermented foods; raw nuts and seeds; healthy oils and mayo; herbs & spices; healthy snacks and treats.
Thrive Market – Excellent selection of gluten-free food items and snacks; Primal Kitchen Mayo; You can filter your search by terms like Gluten-free, Paleo, Organic, Vegan, and Vegetarian.  Save up to between 25 – 50% off retail price at stores. 
Search for Paleo Approved items on store shelves – researched and supported by The Paleo Foundation

 

Essential Oils From DoTerra

Wellness Advocate   http://mydoterra.com/suegomes
Learn about all the ways nature’s plants and oils can help you everyday without the harmful side effects and toxins
Support natural detoxification and immune function; natural antimicrobial activity; nontoxic cleaning solutions; improve sleep and mood and many more benefits provided by essential oils from a reputable company that sources from the best resources.

Book Recommendations:        

The Paleo Solution By Robb Wolf      
It Starts with Food By Dallas and Melissa Hartwig
The Paleo Diet by Loren Cordain
Your Personal Paleo Code by Chris Kresser
Against All Grain (Recipe Book) by Danielle Walker
The Paleo Approach by Sarah Ballantyne
Good Calories, Bad Calories by Gary Taubes
Wheat Belly Total Health by Dr. William Davis
Everyday Paleo Cookbook by Sarah Fragoso
Paleo Indulgences  – cookbook by Tammy Credicott
Adrenal Fatigue: The 21st Century Stress Syndrome – by Dr. James Wilson
Primal Body Primal Mind – by Nora Gedgoudas

 

Helpful Websites:

everydaypaleo.com – cooking website by Sarah Fragoso with Paleo recipes
elanaspantry.com   – cooking website with grain-free, gluten-free or dairy-free recipes
paleotrack.com – a food tracking website to measure calories, macronutrients intake and vitamins 
 thepaleomom.com – a great blog site and has recipes that are great for the whole family with a focus on autoimmunity
civilizedcavemancooking.com – large selection of Paleo and gluten-free recipes
Paleo Living – learn about how to incorporate Paleo foods and create meals.  Introduction to the basic concepts of Paleo.

Documentaries we recommend you Watch:

Food INC: A sad and unflattering look inside America’s corporate controlled food industry 
The Perfect Human Diet: An unprecedented global exploration to find a solution to our epidemic of overweight, obesity and diet-related disease – the #1 killer in America.
 The Future Of Food: Offering an in-depth investigation into the disturbing truth behind the unlabeled, patented, genetically engineered foods that have quietly filled grocery store shelves for the past decade.
Fed Up – The Movie:  An examination of America’s obesity epidemic and the food industry’s role in aggravating it.

Our Favorite Non-Toxic Products:

Redmonds Earthpaste: No Toxic Chemicals. Made With Food Grade Clay, a Polishing Cleanser with Antibacterial Properties 
 Primal Pit Paste Deodorant:  All Organic Ingredients, Paraben-Free, Aluminum-Free and Actually Works!
Scratch Mommy Homemade Products:  All the necessities of modern day life without any harsh chemicals. Sunscreen, Bug Spray, Deordorant and much more
HEDGEHOG HILLS Soaps & Sundries: Quality homemade products that are truly natural and beneficial. Variety of Soaps, Personal Care & Herbal Remedies & Local Family Business!

 

Supplements:

For Supplements from Reputable and Quality Manufacturers, we use Natural Partners as our distribution center.  
It is a one-stop shopping for brands like Pure Encapsulations, Vital Nutrients, Nordic Naturals, Pharmax, Innate, Thorne Research, Designs for Health and many more.  There is also a large variety of nontoxic face and body products, such as shampoo, lotions, bath salts, make up and more.  
You will receive a 20% discounted price by purchasing through us.  We recommend only  3rd party tested, allergen-free & toxin-free supplements for our participants.  There are, however,  many options available on the website to choose from.
Click this link to take you to the website to get you started:   NP Script  —  Enter Code: 129578 to create your account.  You may order as often as you need to and the discount always applies.  The website allows for regularly scheduled deliveries, so that you never find yourself running out.