Patient Forms

Please download and fill out the appropriate forms. You can mail them, drop them by the clinic, or bring them to your next appointment.

Due to HIPPA privacy laws and internet security issues, please do not send them to the clinic or your practitioner via email. Either bring them with you to your visit or send them in the mail.

Health History Form ››
New Patient Information Form ››
Fertility History Form ››
BBT Chart ››
Weekly Diet Sheet ››
Three Day Diet ››
Home Treatment for Lice ››