Functional Assessment Questionnaire

Functional Assessment Questionnaire

2 Step Process

Congratulations, you have chosen to use a fantastic tool to help us assess your health concerns. The first portion is an online assessment which will take about fifteen minutes.

Step #1

Simply ENTER Practitioner Number:

(This was sent to you in an email from us if you have registered for an appointment with Dr. Myers if not Call Doctor's Office at (813)973-8883)

Step #2

Fill out the Male, Female or Child Health Intake form and fax to our office at least 24 hours in advance of your appointment. (813)762-1413.

Male Intake Form

Female Intake Form

Child Intake Form