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Read about our COVID-19 Safety Procedures
Prior to your visit with us, please select and print out the appropriate forms and bring the completed forms to your first visit with your doctor.
The primary document is the Naturopathic Intake form.
For parents with children with autistic concerns, please fill out the Autism questionnaire parts 1 and 2.
Filling out these forms completely will save you much time with your doctor so that she has a better idea of your complete health picture. Thank you for your cooperation.
New Patient Intake Form
This form is for our new patients if you are coming in for physical or emotional ailments. No need to fill out any forms for our clients coming for facial rejuvanation.
Fill out this form if you are a female coming in for a bio-identical hormone replacement pellet therapy appointment for the first time.
Fill out this form if you are a male coming in for a bio-identical hormone replacement pellet therapy appointment for the first time.
Please fill out BOTH parts of this form regarding your child if you suspect autistic symptoms or if he/she has been diagnosed with autism.
These forms are in Adobe’s .pdf format. If you do not have Adobe’s PDF reader on your computer you can download the reader for free here.
If you cannot fill out these forms prior to your visit, please come 20 minutes early for your visit to fill out the forms in our office.
Thank you and we look forward to your continued good health.
saturdays by previous appointment