Use this form for CURRENT clients who want to schedule a followup appointment ONLY.
DO NOT USE FOR NEW CLIENTS - they need to fill out the online form.
I've had way too many no-call/no-shows for "new clients" at the register.
There is a $65 fee for no-shows - information is on the first and last page of online form
Welcome to Abrams Royal Pharmacy! We are so happy that you have chosen us to help guide you on your health care journey. Our goal is to provide you with accurate and up to date information to help you make informed choices regarding your health.
If you're already established as a client and have had a consultation within the past year, simply choose "Current Client", fill in your information, choose a date and time, and we're all set. If this is your first consultation, or its been over a year since we've met, please choose "New Client" and fill out the online form in its entirety.
In order to make the most of our time together, we respectfully request the following:
Please, please please!! DO NOT wear perfume, cologne or essential oils!
These are migraine triggers for several of our employees and customers and we
If you are unable to make your appointment, please call the pharmacy
at least 24 hours in advance so we may contact clients on our wait list
and to avoid a No-Show fee
We're looking forward to meeting with you!
How many days per week do you exercise? Number* What type of exercise? *
Do you skip meals? Never Sometimes Often Intermittent Fasting* Do you eat organically? Never Sometimes Always* How often do you eat at restaurants or get takeaway? Never Sometimes Always* When you go out, what are your favorite restaurants? nom nom nom*
How much water do you drink per day? water* How many cups/glasses of coffee/tea do you drink per day? coffee/tea* How many sodas/energy drinks do you drink per day? soda/energy* How many alcoholic beverages do you drink per week? None/Rarely 1-3 4-6 7+ *
What is your smoking status? None Smoke Dip/Chew Vape* Do you consume chemical sweeteners? None sucralose (yellow) aspartame (blue) saccarin (pink)* Do you consume natural sweeteners? None Sugar Honey/Agave Erythritol/Xylitol/Sorbitol*
Do you find that you get colds, the flu (or Covid) often? No Yes* Do you feel you are digesting your food properly? No Yes* Do you feel bloated/gassy after you eat? No Yes* How are your bowel habits Just right Too fast Too slow