New client intake forms
"I feel better today than I did when I was 21!"
Sarah, 56, has a strong family history for osteoporosis, but she was still devastated when she found out she had osteopenia. After trying Actonel and experiencing several disturbing side effects, she found help with Dr. Brown, and now feels she finally has control over her health.
Please download and fill out the following PDF files. You can only view these forms
by using Adobe Acrobat Reader, which can be downloaded free from Adobe.com.
Once these forms are filled out, you can return them to us by mail or by fax. We
would appreciate it if you could include a recent photo of yourself.
Mail to:
Dr. Susan E. Brown, PhD
605 Franklin Park Drive
East Syracuse, NY 13057
Fax to:
1-315-432-9231
If you have any questions, feel free to call our office at 1-888-206-7119
or 1-315-437-9384. We will be happy to mail you the intake forms
if you prefer.
Learn more about my Personal Consultation services:
Original Publication Date: 03/21/2003
Last Modified:
12/19/2011