gluten intolerant navigation

Gluten Intolerant | Celiac | Hashimotos and Hypothyroid Disease | Functional Blood Work | Hashimotos Blog

Contact Susan



Back to Balance
274 C N. El Camino Real
Encinitas, CA 92024

Located in the Von's Shopping Center
Directly across the parking lot from Russo's Pasta

Please print out the forms below, fill them in and bring them to your first appointment. Thank you.

Patient Intake Form Page 1

Patient Intake Form Page 2

Notice of Privacy

Metabolic Assessment Form

Neurotransmitter Assessment Form (optional)

Contact Susan by Email below:

Your Name:

Your Email:

Questions / Comments:





Copyright 2007 Healing Space Health. All Rights Reserved.
Site Design by
Surf4 Design Group. Hosted by