3291 E. Warm Springs Road, Suite 300, Las Vegas, NV 89120      (702) 616-4001      info@swfunctionalmedicine.com    Payments
     

“ Poison is in everything, and no thing is without poison.
The dosage makes it either a poison or a remedy.”

— Paracelsus, 1520, Medieval physician and founder of toxicology.

Menu

Skip to content
  • Home
  • About
    • Functional Medicine
    • Functional Nutrition
    • Armen Nikogosian, MD
    • Podcasts/Videos
  • Our Clinic
    • Our Approach
    • Services
    • Conditions Treated
    • Become A Patient
    • Patient Forms
    • Office Policies
    • FAQs
    • Supplements
    • Existing Patients
    • Remote Consultations
  • Autism Biomed
  • Blog
  • Contact
  • Payments
  • Home Page
  • (702) 616-4001
  • Contact Us
  • Directions
  • Patient Forms
  • Services
  • Conditions Treated
  • Autism Biomed Center
  • Payments
  • More

Patient Forms

To become a patient at Southwest Functional Medicine please
1. Download the forms below
2. Email info@swfunctionalmedicine.com or fax (702-227-7113) us the completed forms
3. Set up an appointment with our staff

  • Office Policies
  • New Patient Male Intake Form
  • New Patient Female Intake Form
  • New Patient Child Intake Form (Development Delay/Autism/ADHD)
  • New Patient Child Intake Form (Well Child or Sick Child)
  • Medical Symptom Questionnaire (MSQ) – For existing patients only

 


Contact Us

Interested in becoming a patient?

Our patients get to experience the benefits of working with a functional medicine doctor, if you'd like to learn more about becoming a patient, click the button to the right.

Get Started
Navigation
(702) 616-4001
3291 E. Warm Springs Road, Suite 300, Las Vegas, NV 89120

Copyright © Southwest Functional Medicine | Website by WebsiteTigers.com
This website and any of the links it contains are solely for educational, informational, service and product description purposes only. Always seek the face-to-face advice of a physician or other qualified health professional before making any change in treatment or discontinuing any medications. Disclaimer