COMPLETE ONLINE
Complete the New Patient Forms Online
Want to Upload Additional Documents?
Make sure you have your name on each document so we put them in your medical folder
Check list
Remember your Appointment:
Write down appointment time & put it in your digital calendar and download your patient kit here.
Complete & Submit Your intake forms
Comprehensive Health History
Notice of Privacy Practices
Informed Consent (for WA, MT, and CA)
Submit Your Labs
All recent blood work results
All imaging results (mammogram, ultrasound, X-ray, MRI, CT, Bone, PET scan)
Pathology reports
Colonoscopy results
PAP results
Functional lab results (genetic tests, microbiome, neurotransmitter, nutritional, hormone, methylation status, biomarkers, ect)
Home water tests
PREFER PHYSICAL COPIES?
COMPREHENSIVE HEALTH INTAKE
NOTICE OF PRIVACY PRACTICES
INFORMED CONSENT (WA, MT, CA)
Thank you for answering all the questions, I know it was a lot.
Complete answers to all of the questions are to your benefit for the most effective naturopathic assessment, diagnosis and treatment.
This is a confidential record of your medical history and will be kept in this office.
Information contained here will not be released to any person except when you have authorized us to do so.
