New Holistic Patient Forms

New Patient Intake & Medical History Form

For New Patients Only.

• Make sure to select "Next" at the bottom of each page in order to complete all sections.

• Your form is NOT completed until you select "Submit" at the bottom of the last page.

• Paperwork MUST be completed and submitted ahead of appointment.

Office Policies

For New Patients Only.

• Paperwork must be completed and submitted ahead of appointment.

AAC Informed Consent

For New Patients Only.

• Paperwork must be completed and submitted ahead of appointment.

Arbitration Form

For New Patients Only.

• Paperwork must be completed and submitted ahead of appointment.

GA Patient Information & Consent Form

For New Patients Only.

• Paperwork must be completed and submitted ahead of appointment.

HIPAA Notice of Privacy Practices

For New Patients Only.

• Paperwork must be completed and submitted ahead of appointment.

Consent Addendum for Telehealth Services

For New  Patients.

• Paperwork must be completed and submitted ahead of appointment.