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Download Forms

You can print the following forms and either mail it back, fax it to us, or bring it with you to your first appointment.

Word New Adult patients:
Adult intake form downloaddownload
Policy packet downloaddownload
Word New Child patient: For patients under 15 y.o. downloaddownload

Word Return patients with Lyme disease: Lyme Disease/Tick-Borne Illness Symptom Checklist downloaddownload

Other Forms

PDF Download Diet Diary downloaddownload
PDF Download Dispensary Re-Order Form downloaddownload

PDF Download You will need Adobe Acrobat Reader (free). Click here to download Acrobat Reader.

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