Welcome to Empower Healthy Living's Survey page. Our Initial Health Assessment form is accessable from this page after you sign fill out the HIPAA from below. A link will appear when you complete the HIPAA form for part 1 and when you complete part 1 a link to part 2 will appear. Be sure to complete both parts 1 and 2.

You should complete the Initial Health Assessment before you have your initial consultation. If you have any questions before taking the survey, please click HERE.

Click HERE FIRST to sign The HIPAA Notice of Pravacy Practices Consent Form. When submitted, a link for Part 1 of the Initial Health Assessment will appear.

This HIPAA form must be filled-in before we can accept your Initial Health Assessment Survey(s).

To read a copy of our HIPAA Notice of Privacy Practices, click HERE.