Take the first step to restore your health!   Call Us Today! 818-957-7380
/Intake Forms
Intake Forms 2020-05-07T18:24:28+00:00

Please fill out the following forms before your office visit.

Also, please bring with you any lab results, medications, and supplements you are currently taking.

Client History
Form

Informed Consent
Form

Metabolic Assessment
Form

3-Step Detoxification
Questionnaire

Child Neurotransmitter
Assessment Form

Neurotransmitter Assessment
Form

Toxicity
Questionnaire

Stress Assessment
Form

Office Hours

Monday - Appointment Only
Tuesday - Appointment Only
Wednesday - Appointment Only
Thursday - Appointment Only
Friday - Appointment Only
Saturday - Closed
Sunday - Closed

Get In Touch

2223 Montrose Ave.
Montrose, CA 91020
818-957-7380
raya@stepstowholeness.com

Disclaimer: The statements contained in this site have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose treat, cure or prevent any disease. The statements contained herein are for informational purposes only, and are not meant to replace the services or recommendations of a physician or qualified health care practitioner. Those with health problems, or who are pregnant or nursing, are specifically advised that they should consult their physician before taking these or any nutritional supplements. All content found on this web site, including text, images, audio or other formats were created for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
© 2001-2020 Steps To Wholeness. All Rights Reserved.