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

New Adult patients:

Adult intake form download
Policy packet download

New Child patient: For patients under 15 y.o. download

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

Other Forms

Diet Diary download
Dispensary Re-Order Form download

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