New Patient Forms

For your new patient appointment please download my 1) Welcome Letter, 2) RSN Health Questionnaire 3) RSN Informed Consent and 4) RNS MSQ Health Form below. 

You can fill out by hand and mail to me c/o Avalon Yoga and Wellness Center, 10 Winters Lane, Catonsville, MD  21228, you can fax to me at 443.478.4700, or you can fill out electronically and email to me.  If you fill out electronically, make sure to download and save to your computer first and save as a new file once you add your data.

Please send your intake forms back to me in advance of your appointment. Also, please bring any supplements or recent labs to your visit, or send in advance if you are meeting by phone or FaceTime.

Thank you!

For follow-up visits, please fill out the RSN MSQ Health Form below and bring a 2 day food diary.

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RSN Cover Letter

RSN Adult Health Questionnaire – please download and save to your computer prior to filling this out

RSN Youth Health Questionnaire – if under 13 years of age, please fill out this form

RSN MSQ

RSN Informed Consent