To help make best use of your appointment time, please return these forms before your first appointment.
This extensive health history form allows Dr. Kotzur to assess all aspects of your health, including lifestyle and environmental factors that may increase disease risk.
Download Intake Form.
This 4-Day Diet Journal is a powerful tool helping Dr. Kotzur evaluate how your diet may be contributing to your health concerns. Download Diet Diary.
To send recent lab test results or other information you would like Dr. Kotzur to have, please print and sign this form and fax to your doctor’s office. Your specified records are usually sent within a few weeks. Download Medical Information Release Authorization.