Patients

Please print out, fill out, and bring the forms on the day of your appointment.

DOWNLOADABLE FORMS

• Adult Patient Forms
• Pediatric Patient Forms

Optional:

• Autistic-Spectrum Disorder Questionnaire
• Female Premenopausal Form
• MTIH Intake Form For Cancer Patients

Follow-up patients, feel free to fill out the Follow-up-Form

Doctor Referral List

• List of Doctors and Specialties

S.O.T. (Supportive Oligonucleotide Therapy)

Guidelines for SOT: