Thank you for your interest in our Functional Medicine practice. We look forward to our work together in the next weeks and months on your health journey Because we are NOT your typical medical practice, and because we do things differently, we are asking more from you in an effort for us to understand your individualized needs better and to be able to help you.

The required information is to be completed by you as a new patient, before your first visit. This information is critical for us to be able to help design your individual program to restore your health.

We are asking you to complete the Living Matrix NEW patient medical questionnaire, which is in three parts. Please allow some time to complete this questionnaire; it is lengthy but provides us with the necessary information to begin to gain a comprehensive perspective of you as a whole and to facilitate our understanding of the root causes of our health condition(s).

Click here to learn more about the Living Matrix.

Click here to begin which you can complete in multiple sessions in the privacy of your own home. Feel free to save and logout when you feel fatigued. The goal is to gather as much information as possible and remember, if you don’t remember a date – just put the year.

You will be creating the Functional Medicine timeline and matrix with the information you provide. The more details you provide, the better. Dates of significant life events are important, but estimated dates are acceptable.
It is best to complete the questionnaire on a laptop, tablets and smartphones are not compatible with the software. Google chrome, Safari and Mozilla Foxfire are the supported browsers.

Please do not use Microsoft Edge.You will be creating and using a username and password that are unique to you. When you have completed all sections, please click Submit.

We realize that we are asking a lot of you, and thank you for taking the time to complete this information. This information is critical for us to understand your unique health situation and to help restore you to optimal wellness using the principles of functional medicine.
Thank you for choosing our practice, and we look forward to working with you on your journey to better health.

 

Sincerely,
Dr. Bramley, MD