New Patient Forms

New Patient Forms for The Guyer Institute of Molecular Medicine:

If you are a new patient with us, we ask that you please set aside some time to fill out our new patient form. Ideally, we would like you to complete this process prior to arriving at your first appointment. While we recognize this may be a time-consuming effort, your health background and information gives us a significant diagnostic tool for assisting you on a path to better health. Also, we request that you take the time to acquire medical records from other health care providers if available. By helping in providing the above information, Dr. Guyer can more effectively diagnose and treat your specific integrative health needs.

When you have completed the new patient form, you can fax the completed information to our office at (317) 580-9342. Alternatively, you may bring the information to your first appointment.

Thank you for your understanding. We look forward to serving you as our new patient at the Guyer Institute of Molecular Medicine. Finally, please let us know if you have any additional questions or concerns regarding the new patient forms or medical history paperwork. Please see our contact page to find the best time to reach us.