Poopy Diaper Check Questionnaire

This Poopy Diaper Questionnaire gives us important information about your baby's poopy diaper. Poop is a great map to reading what's happening with your baby.

$35 Appointment
Includes review of questionnaire & poopy diaper images, patient education pamphlet, review and treatment plan for healthy happy poops!

Submitting payment is your first step. After submitted you'll be redirected back to this page so we can walk through the poopy questionnaire.

In between that time our support team will email you within the next few hours to provide you with days and times available for your poopy appointment. (Please allow up to 24 hours for a response email. Especially if submitting during closed hours of operations).

There are a couple of questions below that will lead you to answer further questions. If they don't apply then you don't need to answer those questions.

Please note that all fields followed by an asterisk must be filled in.

Please enter the word that you see below.