New Patient Forms

Welcome to our clinic.  Our mission is to help our patients achieve their highest level of health through our specialized and individualized treatments that addresses and treats the root cause of disease.

Our effective treatment approach to health is very unique and advanced from other clinics. This allows our patients to achieve superior results compared to other health systems.

In order to fill out the intake form, you will need adobe acrobat reader (which you can get for free)

• Adult New Patient Packet

• Pediatric New Patient Packet

• Notice of Privacy Practice

• Pain Management Intake

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CONSIDER OUR ENVIRONMENT AND SAVING OUR TREES.

WE ENCOURAGE YOU TO ONLY PRINT THESE FORMS IF ABSOLUTELY NECESSARY.

FOR THIS REASON, WE ASK THAT YOU EMAIL THE COMPLETED FORMS DIRECTLY TO OUR CLINIC:

OR FAX THEM TO 623-266-0429.