Low Complexity New Patient Application
Congratulations on taking the first step toward better understanding your health.
The way Dr. Hagmeyer works with patients is different from the conventional medical model many people are accustomed to.
Our office uses a holistic, Functional Medicine approach that looks beyond symptoms alone and considers how multiple systems in the body may be contributing to your health concerns.
Dr. Hagmeyer does not prescribe medications, and he does not replace your Primary Care Physician or other medical specialists.
Instead, he focuses on understanding the bigger picture through a careful review of your health history, symptoms, medications, supplements, nutrition, lifestyle, and current laboratory findings.
Dr. Hagmeyer believes in testing, not guessing.
The information you provide in your New Patient Application is an important part of this process, so please take your time and complete it as thoroughly as possible.
Complete Your Low Complexity New Patient Application
You have two options for completing your paperwork.
Option 1: Complete the Application Online
You may complete the Low Complexity New Patient Application electronically through our secure online form.
Complete Your Low Complexity Application
Option 2: Download and Complete the Application
If you prefer, you may download the New Patient Application, complete it on your computer, and scan/email it back to the office
Please follow all instructions included with the application.
If you are scanning your paperwork, please submit clear, single-sided scans.
Pictures of completed paperwork are not accepted.
Completed paperwork may be emailed to:
Why Your New Patient Application Is Important
Your symptoms are only one part of your health story.
Your application helps Dr. Hagmeyer understand:
- When your health concerns began
- How your symptoms have changed over time
- Previous diagnoses
- Previous treatments
- Medications
- Supplements
- Dietary patterns
- Digestive symptoms
- Hormonal symptoms
- Thyroid symptoms
- Sleep and stress patterns
- Lifestyle factors
Even in a lower-complexity case, having a complete history helps Dr. Hagmeyer understand the context of your symptoms and determine how your current baseline testing fits into the bigger picture.
Please Complete Your Health Narrative and Food Journal
The Low Complexity application includes a health narrative and a 7-Day Food Journal.
Please begin your food journal as soon as possible and record your food and beverage intake as accurately as you can.
Your health narrative should also be completed thoroughly.
Please type your narrative rather than handwriting it so that Dr. Hagmeyer can review it efficiently before your appointment.
What Happens After Your Application Is Submitted?
Once your completed New Patient Application has been received, your file will be reviewed to make sure the information needed to move forward has been provided.
The general process is:
- Complete your New Patient Application
- Complete the testing recommended or required by Dr. Hagmeyer
- Complete your Case Review
- Begin your personalized treatment plan
- Retest when appropriate to assess progress and make adjustments
This structured process allows Dr. Hagmeyer to begin your evaluation with both a detailed health history and current objective laboratory information.
Testing Comes Before Your Case Review
Testing is an important part of Dr. Hagmeyer’s initial evaluation.
Rather than making recommendations based on symptoms alone, Dr. Hagmeyer uses current laboratory information to establish a baseline and better understand the patterns that may be contributing to your health concerns.
Depending on your individual case, testing may evaluate areas such as:
- Thyroid function
- Blood sugar and insulin regulation
- Inflammation
- Hormone balance
- Iron status
- Nutritional status
- Cardiovascular health
- Liver and kidney function
- Blood cell and immune patterns
- Digestive health, when appropriate
The goal is to have the information Dr. Hagmeyer needs before your Case Review so that your appointment can focus on understanding your results and discussing the next steps.
Important: Previous Testing Is Not Reviewed in Low Complexity Cases
For Low Complexity cases, Dr. Hagmeyer does not review previous laboratory testing, diagnostic reports, or outside functional medicine testing as part of the case review.
The Low Complexity process is designed for patients who are beginning with the current baseline testing required for their initial evaluation.
If you have previous testing that you would like Dr. Hagmeyer to review, your case may need to be classified as Moderate Complexity instead.
What Your Low Complexity Case Review Includes
Before your Case Review, Dr. Hagmeyer reviews the information you have submitted along with the current testing required for your initial evaluation.
Your Low Complexity Case Review may include:
- Review of your completed New Patient Application
- Review of your health history and typed narrative
- Review of your 7-Day Food Journal
- Review of your medication and supplement history
- Review of your current baseline laboratory testing
- Review of important patterns identified within your history and current test results
- Consultation with Dr. Hagmeyer to discuss your findings and recommended next steps
Previous laboratory testing or diagnostic reports are not reviewed as part of a Low Complexity Case Review.
The purpose of the Case Review is to bring the different pieces of your current health picture together.
Rather than looking at one symptom or one test result in isolation, Dr. Hagmeyer evaluates how multiple systems may be interacting.
Dr. Hagmeyer Reviews Your Case Before Your Appointment
Dr. Hagmeyer reviews your file before your scheduled Case Review.
This means your appointment time can be spent discussing the information that matters most rather than simply collecting your history.
Before meeting with you, Dr. Hagmeyer has already had an opportunity to review your:
- Health history
- New Patient Application
- Health narrative
- Food journal
- Current laboratory results
- Medications
- Supplements
- Primary health concerns
This preparation is an important part of Dr. Hagmeyer’s Big Picture approach.
Before Submitting Your New Patient Application
Please make sure your application includes:
- Completed New Patient Application
- Recent photo
- Copy of your driver’s license or photo ID
- Completed health narrative
- Completed 7-Day Food Journal
- All required signatures and dates
Do not submit previous testing with a Low Complexity application.
Incomplete applications may delay the next step in your evaluation.
Important Paperwork Instructions
Please follow these instructions carefully:
- Do not submit double-sided scans.
- Do not take photographs of completed paperwork.
- Documents should be scanned clearly.
- Please type your health narrative rather than handwriting it.
- Make sure all required signatures and dates are included.
If you do not have access to a scanner, many office supply stores and public libraries offer scanning services.
We Accept a Limited Number of New Patients
Dr. Hagmeyer accepts a limited number of new patients so that sufficient time can be dedicated to reviewing each case and providing personalized care.
New Patient Applications are reviewed in the order they are received.
Submitting complete paperwork and completing the required testing helps prevent unnecessary delays.
Please provide as much detail as possible.
The more complete the information Dr. Hagmeyer has before your evaluation, the better he can understand your history and the patterns within your current results.
Ready to Complete Your Low Complexity Application?
You can complete the application securely online:
Start Your Low Complexity New Patient Application
Or, if you prefer, you may download the application, complete it, scan it, and return it to:
If you have questions about whether your case should be classified as Low, Moderate, or High Complexity, please contact our office before submitting your paperwork.
On behalf of Dr. Hagmeyer and the entire DrHagmeyer.com team, we look forward to helping you take the next step toward better understanding your health.