Where to start

Fill Out Forms Now

If your browser is Edge, Chrome, or Safari on your PC, you should be able to open each form and fill it out online, save with your name, date and email me your copy.

  1. If you are using an Apple product,  Android or a tablet, download the app first,  open up PDF Fill and Sign in your App store before filling in the form


If you are using Firefox on your PC , please download the Adobe Acrobat reader by clickiing tab below before filling in the form.

One more option is to print each form and fill it in and mail it to us before your visit at:

5820 S Grand Blvd

St. Louis, MO 63111


Take a picture of the completed form and email it to Appointments@Farotto.com


Wellness History

Note:  Please sign last page with autograph  or print name to electronically sign. 

Wellness History Farotto Integrated Medicine Centre (pdf)



Brain Transmitter form

Brain Transmitter fill in (pdf)



Assessment Screening

Assesment Screening Fill In (pdf)