Download Forms

Holistic Health for Soul, Mind, & Body

It takes most people about a half an hour to fill out the intake forms on their first visit. If you prefer to save some time you may fill out the forms in advance. They are in Adobe.pdf format.

 

Simply click download and save them to your computer. Then print the form, fill it out and bring it with you on the day of your appointment.

 

If you do not have the Adobe reader it is free at Adobe: Adobe

 

Forms:

Medical History (4 pages, fill out thoroughly and bring with you)

Acknowledgment of Receipt of Privacy Statement & Consent to Treat Forms Form (bring in these forms signed)

 

OPTIONAL

Privacy Statement (Optional no need to bring in, this is for your records)

 

If you do not have a printer then stop by and we will give you the forms so you can fill them out in advance.

 

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