Patient Forms

New Patient Intake Form

Please fill out the New Patient Intake Form prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

HIPPA Notice

Please fill out the HIPPA Notice prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

Financial Policy

Please review and sign the Financial Policy prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

Informed Consent

Please review and sign the Informed Consent document prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

Consent to Treat a Minor

Patients under the age of 18 must provide a signed copy of the Consent to Treat a Minor form

Acupuncture Intake Form

Please fill out the Acupunture Intake Form prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

Massage & Wellness Intake Form

Please click here to fill out the Massage & Wellness Intake form

Naturopathic: Female Intake Form

Please fill out the Naturopathic: Female Intake Form prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

Naturopathic: Male Intake Form

Please fill out the Naturopathic: Male Intake Form prior to arriving at your first appointment. Form will open in a new tab for you to fill out. Thank you!

Contact Us

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.