We are looking forward to your upcoming visit and feel so honored you have chosen us to be part of your wellness journey.


As part of our intake process for all functional medicine patients we require that all patients set themselves up on our portal and sign all administrative forms, (these are found under the Questionaires tab in the portal once you have set it up). Additionally for functional medicine patients, we require intake forms be completed through LivingMatrix that includes your medical history and an in depth questionnaire related to your current concerns, this is a separate process from the portal.

These are two separate websites you visit and you should have received 1) an appointment with our patient navigator to walk you through this process and 2) two emails related to this at the time of booking. One email is from and another from You may need to check your spam or junk mail.


Please make sure you have completed the necessary intake process. We require that all patients complete the portal Questionaire Forms prior to visiting the office, and we require that all functional medicine patients visit LivingMatrix and this must be completed we must receive the LivingMatrix info at least 4 days prior to your initial visit so that the provider has time to review your chart and familiarize herself with your history prior to your visit. Because functional medicine patient visits are so in-depth this is necessary to make the most of your time with the provider and to provide you with the best service. Therefore if we do not receive these intake forms we must reschedule the visit for a time after they have been completed. Thank you for understanding that this is part of our committment to provide the highest level of care.

Additionally please note that there is a $300.00 nonrefundable deposit required for functional medicine appointments.  Balance and other payment is due at the time of service including functional labs we order. The credit/debit card on file for you, will be charged at the end of your appointment for any remaining balance.

We are excited you chose us as part of your healthcare team and want to provide you with the very best care possible. We look forward to receiving your information and seeing you at your upcoming appointment.



The Fork Functional Medicine

Register with The Fork Functional Medicine, PLLC

Welcome to the The Fork Functional Medicine, PLLC registration page. To register as a new patient, please enter your information in the fields below. Please do not use this form if you are already a patient (you have seen any of our practitioners in the past). To set up patient portal access or amend your information, please contact us.

If you are already a registered patient with online access, you can log in here

Basic Contact Information

Your Address

Contact Information

Emergency Contact

Insurance Information

Note: Our practice does not bill insurance, but this information makes it easier for us to refer you for other services (like labs or specialists)

Medical Information

Please enter your basic medical information below. You may also add or edit this information after you've signed up.

Set Username and Password for Patient Portal

Please create a username and password that you will use to log into the patient portal in the future.

Your username must be at least 4 characters long

Your password must be at least 8 characters long and include at least one number or special character.

The patient portal gives you access to your medical records and lets you securely communicate with your doctors. When you sign up, you will receive an email with instructions for logging in.

Sign with mouse or finger:

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