Food Plate

AWFT Paperwork

Nutritional Informed Consent

For New Patients Only.

Required for New Patients in Step 2.

Asian Systems Survey Form

For New and Established Patients.

  • Required for New Patients in Step 2.

  • Required for Established Patients at every followup.

Endocrine (Kidney Yin/Yang) At-Home Tests

For New and Established Patients.

  • Required for New Patients in Step 2.

  • Established Patients may not always have to complete. Check with your healthcare practitioner in advance of your followup appointment.

Functional Systems Survey Form

For New and Established Patients.

  • Required for New Patients in Step 2.

  • Required for Established Patients at every followup.

Toxicity (Wei Qi) Questionnaire

For New and Established Patients.

  • Required for New Patients in Step 2.

  • Established Patients may not always have to complete. Check with your healthcare practitioner in advance of your followup appointment.

Yeast (Wei Qi) Questionnaire

For New and Established Patients.

  • Required for New Patients in Step 2.

  • Established Patients may not always have to complete. Check with your healthcare practitioner in advance of your followup appointment.

Food Journal

For New and Established Patients.

  • Required for New Patients in Step 4.

  • Required for Established Patients for every followup appointment.

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