A (Before your 1st appointment) – Click here to download all 5 forms together.
Bring these with you to your first appointment.
The 5 Individual New Patient Forms
- Find the Cause of Your Weight Problem—Body Shape Quiz
- Weight Loss Difficulty Questionnaire
- Most Commonly Reactive Foods
- Body Mass Index
- Metabolic Assessment Form (MAF)—complete sections VI & VII only
Weeks 1–8: Complete Program
B (Complete 8-Week Program) – Click here to download 1 single pdf
Individual pdfs for 8-Week Program
Week 1
- Stapling Instructions for pdfs
- Diet Diary (make 8 copies)
- Hunger Is All in Your Head
- Neurotransmitter Assessment Form (NTAF)
- Glycemic Index
- Blood Test Instructions
- Insulin Resistance Evaluation
Week 2
- Eight Physical Causes of Weight Problems
- Liver Enhancement Program
Week 3
- QRA Nutrition Testing Chart (don’t fill out)
- First Time Evaluation
- Balancing pH
Week 4
- Metabolic Type I
- The Blood Sugar Diet
Week 5
- Metabolic Type II
Week 6
- Metabolic Type III—Chinese 5 Elements Questionnaire
- Chinese Five Elements Diet
Week 7
- Metabolic Type IV—Ayurvedic Body Type Evaluation
- Ayurvedic Diet
Week 8
- Eat and Avoid List
Special Diets
- SD_A-O
- SD_TL
- Dr. Stone’s Purifying Diet
- Changes that Occur During the Purifying Diet