New Holistic Patient Forms
New Patient Intake & Medical History Form
For New Patients Only.
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Make sure to select "Next" at the bottom of each page in order to complete all sections.
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Your form is NOT completed until you select "Submit" at the bottom of the last page.
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Paperwork MUST be completed and submitted ahead of appointment.
Office Policies
For New Patients Only.
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Paperwork must be completed and submitted ahead of appointment.
AAC Informed Consent
For New Patients Only.
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Paperwork must be completed and submitted ahead of appointment.
Arbitration Form
For New Patients Only.
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Paperwork must be completed and submitted ahead of appointment.
GA Patient Information & Consent Form
For New Patients Only.
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Paperwork must be completed and submitted ahead of appointment.
HIPAA Notice of Privacy Practices
For New Patients Only.
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Paperwork must be completed and submitted ahead of appointment.
Consent Addendum for Telehealth Services
For New Patients.
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Paperwork must be completed and submitted ahead of appointment.