Filling Out a Medical Form

If you are a new patient and have booked a New Appointment with Dr Paivi, please fill out a patient questionnaire before your first appointment.

 

The following patient questionnaires will help Dr Paivi understand your health history, current health status and any medical concerns you may have. Also by filling out a questionnaire, Dr Paivi can assure the best care for you.

If you cannot answer some of the questions or feel uncomfortable answering them, leave them blank. At the end of the questionnaire you can upload any relevant patient/health files that you would like Dr Paivi to assess.

All questionnaires are confidential and only read by Dr Paivi.

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Dr Paivi Shedd is an A4M Fellowship, Board Certified doctor in Anti-Aging, Regenerative and Functional Medicine.