Your paperwork, ready when you are.
Choose the intake packet that applies to you. Each PDF has fillable fields, so you can type your answers or print and complete it by hand.
Tell us what brings you in, what you want to get back to, and what feeling better means to you.

Request an appointment online or call 262-345-4166. Our team can help with scheduling and questions before your visit.
Discuss your symptoms, health history, and goals with Dr. Grant. Your evaluation helps guide recommendations for your care.
Discuss your recommended care, ask questions, and learn practical ways to support your progress between visits.
Choose the intake packet that applies to you. Each PDF has fillable fields, so you can type your answers or print and complete it by hand.
Your health history, symptoms, care goals and consent forms in one packet.
Open fillable PDFDownload adult packetFor a parent or guardian to complete, including birth, development and health history.
Open fillable PDFDownload pediatric packetComplete this in addition to your intake packet if you are pregnant.
Open fillable PDFDownload questionnaireSave a completed copy to your device, print all pages, sign where indicated and bring the packet to your appointment. Mark symptom locations on the printed body chart, or use your PDF reader’s drawing tool.
If the fields do not work in your browser, download the PDF and open it in a PDF reader. You can also complete a paper copy at the office. Please do not send completed health forms through the website contact form or regular email.
Need help choosing a packet? Call 262-345-4166.
Explore our approach and learn more about Dr. Grant before you arrive.
Before your first visit, call 262-345-4166 to ask about current fees and payment options. Coverage and out-of-pocket costs depend on your plan and the services recommended.
Have your insurance information ready and ask what an initial evaluation includes. If you are interested in SoftWave TRT, ask about its pricing separately. Your recommended visit schedule will depend on your evaluation and care plan.
Contact our Brookfield office