Patient Forms

Complete Your Forms at Your Convenience

Filling out your forms ahead of time helps ensure a smooth and personalized experience with

Dr. Cheung.

A wise woman and a great health teacher. From a long ago patient.

Gramercy Guy

Start Here: How to Complete Your Forms

To ensure a smooth experience, please download and complete the required forms before your consultation.

Instructions:

  • Download the appropriate forms below

  • Fill them out digitally or print and complete by hand

  • Save as PDF files

  • Email them to: [email protected]

Access All Forms Below

Choose the set of forms that applies to your visit or treatment plan.

New Patients Forms

General Forms

Medical Questionnaire Forms

What Patients Say

Dr. Cheung Gets Results

"It is an Honor..."

"... to write a GLOWING recommendation about the BEST doctor in the WORLD! The ONE Person who NEVER gave up on me! It is because of Dr. Cheung that I am NOT in a wheelchair!! She helped me physically, nutritionally, AND spiritually.

Thank you, Dr. Cheung!"

- M. Corrigan

"Dr. Cheung combines a comprehensive...​"

"... understanding of the functioning of the human body with a thorough knowledge of nutrition and healthy eating, offering patients a route to natural healing that is both pleasurable and effective."

- M. Siple, MS, RD

"Creativity and energy...​"

"... play a major role in my profession. Dr Cheung has always managed to create a functional do-able program that NEVER matches the standard cookie-cutter approach to health. If you are committed to foster the magic and the miracles that are within you, I would highly recommend working with this gifted doctor."

- J. Ciniglio

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