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Congratulation for taking the first step towards achieving optimal Health. We are here to help you every step of the way. Here is the new patient application you will need to complete. There are two options to competing the application.

  1. Download the paperwork and then scan it and mail it to the office (see instructions below)
  2. Use this link to complete the paperwork on line on your computer using a fillable form. Click here to start your application 

Please download the forms and following the instructions within the new patient application. The paperwork can be completed on line as it is a fillable PDF form. If you prefer you can also print it up, and mail it. Pictures of the paperwork are not acceptable.

We look forward to uncovering the root cause of your health problems and helping you get your life back.

Here is a summary of what your Case Review includes:

1) Review of existing blood work/Diagnostic Reports

2) Review of your Health History and typed narrative

3) Review of your 7-Day Food Journal

4) Review of Medications history

5) Review of Metabolic Assessment Form

6) Review of Neurological Assessment forms.

7) 60 minute consultation with Dr Hagmeyer to discuss his recommendations for Future Testing and how he wants to approach your health problems.

 

Hashimoto's Autoimmune Thyroid-Patients with Normal TSH Values- 4At the bottom of this page, is Dr. Hagmeyer’s New Patient Application and Welcome Packet it says “Download Now”  Please have all of this information read and completely filled out. Once the paperwork has been completed please email it back to us, please be sure to scan all documents single sided.

If you prefer to fill it out line You can do that by clicking on this link High complexity Paperwork

If you prefer to print up the paperwork and then email it to the offie please be sure you email it to drhagmeyerpaperwork@gmail.com

Be as thorough as possible. There is also a 7-day food diary form. Start that today and include that with your New Patient Paperwork.

Once we have reviewed your new patient application, we will email you to schedule your case review.

Please be sure our office receives the New Patient Application within 10 days for priority scheduling. As much as we would like to accept every case, Dr Hagmeyer can only accept a limited number of patients per month in order to ensure personalized care.

New Patient Applications are processed in the order they are received. Once your application has been received, your file will be reviewed by Dr Hagmeyer.

Remember to provide as much detail as possible.  The more information you can share with Dr. Hagmeyer about your history, the more he will understand your case and find a solution for you.

Dr. Hagmeyer will review your file before your scheduled appointment. This way he has more time to spend on what matters most… Your Health.

If you are like many of our patients, you are about to take a BIG step towards your journey of Health and Healing. We are sure this is the path you have so desperately wanted to go down. We look forward to being a part of the recovery process.

Before mailing, don’t forget to include the following:

  1. Paperwork Checklist
  2. Recent Photo
  3. Driver’s License
  4. Printed Copies of ALL your laboratory tests taken in the last 6-12 months (1o page max)
  5. Completed New Patient Application

*****Check your application before sending. An Incomplete application will delay scheduling.*****

Please note:

DO NOT double side your paperwork. 

Do Not Take photos of your documents. Documents must be scanned (If you dont have a scanner, we suggest you take your paperwork to Staples, Office Depot, Office Max or your public Library. 

Please Do not handwrite your Narrative. 

If you prefer to mail your paperwork rather than scan it, please contact us.

If you have any questions you can call 630-303-3869. For a faster response, we recommend, that you email our office.

On behalf of Dr Hagmeyer and everyone here at DrHagmeyer.com, we are delighted that you have taken the first step in reclaiming your Health!.

 

 

 

Once again if you prefer to fill out your paperwork on line. You can do that by using this link High complexity Paperwork