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Established Patient Visit Intake forms

All patient visits are documented on

intake forms that allow you to 

describe current health issues, 
order herbal and health products, 
and serve as your receipt/superbill 
for reimbursement.

We would prefer that you fill out

the online forms, but if you want,

you can download a PDF to manually complete.

Please print the dowloaded PDF
as a 2 sided document if possible.

This will fit our filing system better.

Thank you and look forward to seeing you!