Patient Forms

Additional Patient Info:

Intake Forms

If you would like to do paperwork before you come in, please print and fill out your forms
and bring them to your next appointment.

Please note that email is not a HIPAA secure interface; we are working on integrating
documentation with our electronic medical record system.

LDI Patient Information

New Patient Info Packet

HIPAA Privacy Policy
Insurance Intake Forms
Neurofeedback Intake Form
Telemedicine Consent Form
Naturopathic Consent Form
Frequency Specific Microcurrent (FSM) Consent Form

Low Dose Immunotherapy (LDI) Consent Form

Patient Portal:

Online Booking Form: