Functional Medicine Symptom Survey

The quickest and most efficient way to complete your functional medicine intake form is electronically. Please contact us at 507-752-7650 or redrockchiro@centurytel.net so we can e-mail you a secure link.

If you are absolutely not able to complete your functional medicine intake form electronically, you may click on the link below to print and complete a paper copy.

Once you have electronically submitted or physically returned the completed symptom survey to our office we will set up a consultation with Dr. Kyle to discuss how we can help improve your health with functional medicine.

Functional Medicine Patient Symptom Survey