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Baseline Health Assessment Questionnaire

A major focus in my office is kids and the health of their developing brains and nervous systems. I believe that every child has the birthright to be healthy and vital so they may develop to be wonderful, healthy adults. 

     Over the past few years, I have noticed a dramatic increase in cases of pediatric health issues to an epidemic proportions. Autism Spectrum Disorders or ASD reached all time high with numbers like 1 out of 38 kids affected. Autism Spectrum Disorder, as well as, ADHD, Dyslexia, developmental delays, and other issues that fall under special needs are affecting our families and loved ones and I for once cannot sit and do nothing about this. 

  These issues vary drastically from emotional, behavioral and personality changes, to sensory integration problems, developmental delays, weakened immune systems, learning disabilities and more. These serious health issues are a daily reality for many parents in our community and many of my patients. 

        I am truly blessed to be able to do what I do and to help kids and families improve their health and quality of life. I see lots of different people in my office with a wide range of health concerns and even families that come in for wellness. That said, I do have a passion and a special place in my heart for kids and helping them through health issues and other difficulties. Most often as parents, myself included, we do not notice or want to acknowledge that there might be an issue with our child.

       So many parents are unaware that impairment or damage to the nerve system is not always about pain. It can cause subtle (and not so subtle) changes in a child’s development that can affect everything from personality and behavior to adaptation, learning, and vitality.

         Please fill out this questionnaire to help us identify your child’s current state of nervous system functioning and determine how we can help. Once completed, please email this questionnaire to drofekdc@gmail.com and I will help you book your child’s complimentary baseline health assessment. You may also have a video consultation with me prior to your appointment in order to answer any question you have regarding your child's health. Call my office to schedule 770-435-8890.