Patient Forms
Take Charge of Your Health Today
The passionate and expert care team at the Boster Center is ready to help you take charge of your health with comprehensive, personalized treatment plans that give you the relief and confidence to live your best life.
Pre-Register Today to Get Started On Your Treatment Journey
For your convenience, please pre-register at our Patient Portal to start the consult process.
International consult requests are not accepted at this time.
Intake Request Form
This intake request form helps The Boster Center team understand your health concerns so we can provide the best care possible.
Medical Records Release Form
Your medical records release form permits us to view your medical records and helps to keep your information private and safe.
Privacy Policy & Release Form
This form outlines how your information will be kept private and secure so that only the members of your medical team who need to know about it can access it.
Disease Timeline Form
Your disease timeline helps Dr. Boster and the Boster team track symptoms and disease progression to create your ideal treatment plan.
Physician Referral Form
When a doctor refers a patient to our care, this form is used to share the patient’s medical history, diagnosis, and current condition so we can provide the best possible treatment.
Patient Portal
Returning patients, please check in using our patient portal. View your medical records and download our app.
