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What Patients Say

I want to thank you for your time on the phone the other day. While we have never wavered from the plan you have set us on, we are very appreciative of the listening ear and kind hearts you share with us. As you know, seeing your child 'damaged' is very hard, and the reassurance you share keeps us strong.

Family
Grapevine, Texas

Become a Patient

If you have already made an appointment to see the doctor, you may print out the patient registration forms below, complete them and bring to your first appointment. You only become a patient once you are seen by the doctor.

Child Patients - English

Children - New Patient Registration
Authorization for Release of Protected Health Information (PHI) (Send this to your other doctors so they may send records to us - or you can pick up your records and bring them on your first visit.)
Child New Patient Q & A (This is for your information)
Digestion + Immunity=Behavior (This is for your information)
Map to Kotsanis Institute
Checklist for Autism (MCHAT) English

Child Patients - Spanish

Checklist for Autism (MCHAT) Spanish

Adult Patients - English

Adult Registration Form
Authorization for Release of Protected Health Information (PHI) (Send this to your other doctors so they may send records to us - or you can pick up your records and bring them on your first visit.)
Patients Health Questionnaire
Map to Kotsanis Institute


Adult Patients - Spanish

Digestion Inmunidad Desintoxicacion