Patient Portal
Visit our Patient Portal for Patient Forms
Book Online
Online Store
Insurance Information
We currently do not accept insurance, however Dr. Cocke can provide a Super Bill to submit to insurance as an out of network provider.
Patient Forms
- Medical Symptoms Questionnaire
- Medical Symptoms Questionnaire Spanish
- Male Intake Questionnaire
- Female Intake Questionnaire
- Readiness for Change
- HPA Axis Questionnaire
- BPH Symptom Index
- Pediatrics PANS-PANDAS Screening Questionnaire
- Depression Anxiety Stress Scales
- Environmental Exposure History Form
- Candida Screening Questionnaire
- Thyroid Screening Questionnaire
- Sleep Questionnaire
