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Welcome to Hasemeier Health

Creating a healthier you!

We’re happy you’ve made the decision to take back your health, Dr. Rick Hasemeier is here to help and guide you along the way.

Step 1:  Schedule your appointment

Step 2: Complete the online functional medicineintake process here

Step 3: Use this links to complete the online intake process. Please allow 2-3 hours to complete this online portion and the 2 files below:
Part 1 needs to be completed and either faxed or emailed back 24 hours before your appointment.
Part 2 can be filled out and brought with you on your visit.

Both of these forms are PDF fillable and can be saved as separate files with your name and date and emailed or faxed. The fax number is in the part 2 document. If you struggle with dates just estimate the year you had a specific health problem or surgery.

Step 3:  Achieve a higher level of health!

Have questions? Contact Hasemeier Health at (937) 550-4156 for assistance.