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Patient Forms

All new patients must complete the intake and consent to treat form by clicking a box below. Please take about 20-30 mins to fill the form as they are a great guide for us to connect to what direction will help you best. Eastern Medicine is a whole body approach, hence the importance of the in-depth questionnaire and history.​​ If you do not have a printer, please arrive 20-30 mins early to your appt to fill out in person. 

Intake and Consent Form


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