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What Patients Say

Thank you from the bottom of our hearts for helping our son Alex. We are so happy to finally have our son back after 8 years of suffering. Alex is doing great thanks to you!

Parents of a 17 year old Tourette's patient
Plano, Texas

Become a Patient

If you have already made an appointment to see the doctor, you may print out the patient registration forms below, complete them and bring to your first appointment. You only become a patient once you are seen by the doctor.

Child Patients - English

Children - New Patient Registration
Authorization for Release of Protected Health Information (PHI) (Send this to your other doctors so they may send records to us - or you can pick up your records and bring them on your first visit.)
Child New Patient Q & A (This is for your information)
Digestion + Immunity=Behavior (This is for your information)
Map to Kotsanis Institute
Checklist for Autism (MCHAT) English

Child Patients - Spanish

Checklist for Autism (MCHAT) Spanish

Adult Patients - English

Adult Registration Form
Authorization for Release of Protected Health Information (PHI) (Send this to your other doctors so they may send records to us - or you can pick up your records and bring them on your first visit.)
Authorization to Charge Credit Card
Patients Health Questionnaire
Map to Kotsanis Institute


Adult Patients - Spanish

Digestion Inmunidad Desintoxicacion