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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. There are two options to competing the New Patient Application.

  1. Download the paperwork to your computer, and then scan it and e-mail it to the office (see instructions below) OR
  2. Use this link to complete the paperwork on line in our secure portal. Click here to start your application 

If you will be downloading the New Patients Application, Please download the forms and following the instructions within the new patient application. Pictures of the paperwork are not acceptable.


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 scan all documents single sided.

If you prefer to print up the paperwork and then email it to the offie please be sure you email it to Be as thorough as possible. There is 3-5 page health narrative as well as 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.

Dr. Hagmeyer will review your file prior to your scheduled appointment. This way he has more time to spend with you answering questions and helping you understand your test results.

If you are like many of our patients, you are about to take a BIG step towards your journey of Health and Healing. We look forward to being a part of the recovery process.

Before Emailing your New Patient Application, Be sure you check the following.

  1. Paperwork Checklist
  2. Recent Photo
  3. Driver’s License
  4. Copies of your previous tests
  5. Completed New Patient Application with signatures and dates where appropriate.

*****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 don’t 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. 

On behalf of Dr Hagmeyer and everyone here at, 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 Low Complexity Paperwork. You can save as you go and your information will not be lost.