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FORMS
Note: You have three (3) choices to download forms (a) PDF format - you need to have acrobat reader to be able to download PDF files. b) Word Document format - you need to have Microsoft Word to be able to download word docs files. c) HTML - any supported HTML viewer (i.e. Internet Explorer, Netscape, Firefox, Opera, etc.) Just click the link below.
Patient History Form (3 Pages) - PDF format
Patient History Form (3 Pages) - word doc format
Patient History Form (3 Pages) - printer friendly html page 1 page 2 page 3
Registration Form (3 Pages) - PDF format
Registration Form (3 Pages) - word doc format
Registration Form - printer friendly html
WHAT TO EXPECT AT YOUR FIRST APPOINTMENT
After giving Dina your completed Patient History Form, Registration Form, copies of your lab work from the last six months to a year (if any), and (if you have insurance) your Insurance Card, you will likely wait only a minute (sometimes a few minutes) to be seen at your appointment time. Dr. Chapdelaine will spend approximately 40 minutes to an hour with you on the first (and sometimes follow up) visits, discussing your Medical History and the reason(s) you wanted to see him. If you brought vitamins or supplements you are taking, Dr. Chapdelaine will want to look at those.
Expect handouts regarding diet or mercury dangers or thyroid testing and others. Expect to be given “homework” such as reading Suzanne Somers new book, Breakthrough, or recording your blood pressure or blood sugar for several days (if these are problems). Expect Dr. Chapdelaine to order blood testing (if it hasn’t been done for a year or if certain labs are missing). Other tests are usually targeted to the problems, such as hormonal testing (using saliva tests which studies show are more accurate than blood tests; for example, LH and FSH saliva testing is up to 100 times more sensitive than blood tests).
Do not expect to solve all your medical problems in one visit. In fact, if you are taking many prescription drugs, then it becomes more difficult to help you undo the ongoing damage from the drugs, to help you wean off unnecessary drugs (such as statin drugs, considered by many knowledgeable doctors to be extremely dangerous and worthless). Dr. Chapdelaine will help you redirect your pathway toward eating better, replacing deficient hormones, sleeping better, and taking back your health from the dependence on symptomatic drugs.
If you are ready to participate in your own health care, then you are ready to see Dr. Chapdelaine. If necessary, please read Suzanne Somers’ book, Breakthrough, so you will understand what is going on in the sick care system before making an appointment.