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Tricho Consultation Form Instructions :

We are a paperless practice; our website, email and virtual conferencing platform are secure for conferencing, payment and the transmission of your records and information.

If you have questions please don't hesitate to give us a call.  


All clients must complete the following forms and return them within 48 hours of the scheduled appointment time. This will provide Dr. Candy time and an opportunity to review your information prior to meeting with you. By doing so, our hope is to save you extra consultation fees.


INSTRUCTIONS:  

  1. Schedule your appointment by going to Schedule & Payment
  2. Come back to this page and download the correlating consultation forms below.  
  3. Forms must first be downloaded by clicking the "Download PDF" link that appears at the top of each form.
  4. These forms are "fillable forms"...Fill out and save the documents to your device.
  5. Email your forms as attachments to: drcandy@thelotusconcept.com


Thank you in advance for your time and effort in completing these forms.We do hope you consider our program to find your own ANSWERS, RESULTS & HOPE.

Tricho-Wellness Assessment Form

Click the Download PDF link below to open this document. 

Download PDF

Male Hair Loss Diagram

Click the Download PDF link below to open this document. 

Download PDF

Female Hair Loss Diagram

Click the Download PDF link below to open this document. 

Download PDF

Metabolic Assessment Form

Click the Download PDF link below to open this document. 

Download PDF

Neurotransmitter Assessment Form

Click the Download PDF link below to open this document. 

Download PDF

Mind/Body Questionnaire

Click the Download PDF link below to open this document. 

Download PDF

Your Story

Click the Download PDF link below to open this document. 

Download PDF

Establishing Health Goals

Click the Download PDF link below to open this document. 

Download PDF

Informed Consent

Click the Download PDF link below to open this document. 

Download PDF

Disclaimer

Click the Download PDF link below to open this document. 

Download PDF