Documents for Potential Patients
Dr. Brouse’s Nutritional Advice Interview (NAI) is for those who are not yet patients of Sunnyside Health Center. We encourage our patients to refer friends and family members who are seeking alternative solutions in their health pursuits.
- Print out and complete the (NAI) Authorization Form then fax to 503-631-4189 or e-mail to firstname.lastname@example.org.
- You will receive a follow-up phone call to schedule a time. There is a $25 per each 5 minutes increment consult fee, scheduled in 15 minute increments.
- A medical record at time of consult is at no extra charge (one time only).
The purpose of the Nutrition Advice Interview is to establish a rapport between yourself and Dr. Brouse. If you write down your questions and concerns before the appointment you can exchange a meaningful amount of information in a short amount of time. After addressing all questions and concerns, Dr. Brouse will determine if he feels he can be of help and you can decide if you would like to pursue treatment.
If you have medical records you would like Dr. Brouse to review, you will need to forward them in advance of your appointment. The fax number is (503) 631-4189. He will want to review them before the call so that your appointment time can be used to discuss your health concerns and receive recommendations.