FORMS
The following forms
are designed to help
us work together for "your"optimal health
& comfort:
The Intake Form allows me to keep in touch with
you, notify you of any changes in my practice and keep
you updated to any specials.
The Authorization Form acknowledges that
you have read my brochure or website, alerts me to
your doctor's information in case of emergency
and protects you as well.
The Outcomes Form lets me know exactly what
you are looking for, your goals and any health issue
you might like to share.
(This one is optional and helps me plan for your optimal care)
_____________________________________________________
Please feel free to click on the file, download the forms,
fill them in at your leisure, and then:
Bring them with you to your appointment.
This will allow me more time with you ...
It helps me customize your treatment
according to your needs.
If you would like to e-mail them to me ahead of time,
that would be fine as well. You may do so at:
_______________________
If you choose to fill out the paperwork
at your appointment time instead,
***please come a minimum of
15 minutes prior to your appointment
to allow for completion.
Thank You!
*My former Holistic website:
has merged with SeniorCareRN.com as one
