PATIENT FORMS

Below are downloadable forms our patients. Any diet information contained on our website is ONLY to be implemented under the direct supervision of Linda Nathanson-Lippitt, M.D. This information is ONLY for existing patient's of Children's Habilitation Center, PC / Linda Nathanson-Lippitt, M.D., any other use is not authorized and we take no responsibility for any implementation of this diet for patient's not under the direct instruction of Dr. Linda Nathanson-Lippitt.

• Notice of Privacy Practices
• Acknowledgement of Privacy Practices



• New Patient Letter
• Patient Information Sheet
• Follow-Up Form
• Release of Medical Records
• Request To Restrict Use Or Disclosure Of Protected Health Information



• 2010 Fee Schedule
• Tips for maximizing your insurance reimbursement
• Preparing for a Vaccination



• YOGA BREATHING EXERCISE
• COMPOUNDING PHARMACIES
• Camps and Summer Programs
• Information about Hypnosis for Parents



• Signs Of Stress In Infants
• Developmental Milestones: Age range: 0-2 months
• Developmental Milestones: Age range: 2-4 months
• Developmental Milestones: Age range: 6-8 months
• Developmental Milestones: Age range: 8-10 months
• Developmental Milestones: Age range: 15-18 months
• Developmental Milestones: Age range: 18-21 months



• 30 Second Teacher Check



• Gerstmann Syndrome - What is it?
• Gerstmann syndrome
• Gerstmann syndrome -2
• Gerstmann syndrome -3

B-12 Section

• Instructions / Guide for Giving Methylcobalamin Injections
• PARENT DESIGNED REPORT FORM AND PARENT SPECIFICS DOCUMENTATION LETTER FOR METHYL-B12 THERAPY

Diet

• INTESTINAL DYSBIOSIS / YEAST PROTOCOL
• Yeast Elimination Diet
• Infrared Sauna : Another Detoxification Tool
• Nourishinghope.com

Prices are subject to change without notice.

• Supplements with no fees
• Book Pricing