Download Forms

Holistic Health for Soul, Mind, & Body

It takes most people about a half an hour to fill out the intake forms on their first visit. If you prefer to save some time you may fill out the forms in advance. They are in Adobe.pdf format.


Simply click download and save them to your computer. Then print the form, fill it out and bring it with you on the day of your appointment. We must have hard copy form so please print them out.


If you do not have the Adobe reader it is free at Adobe: Adobe



Medical History (4 pages, fill out thoroughly, signed, and bring with you)

Parient Consent to Treat Form (bring in this form signed)

Acknowledgment of Receipt of Privacy Statement Form (bring in this form signed)




Privacy Statement (Optional no need to bring in, this is for your records)


If you do not have a printer then stop by and we will give you the forms so you can fill them out in advance to save you time at your first appointment.


Call for free 15 consultation. For appointment call, text, email or book online at