Pre-Appointment Forms
Credit Card AgreementAcupuncture Evaluation
Applied Kinesiology/Chiropractic Evaluation
ChiroThin Doctor Supervised Weight Loss Program
LENS Neurofeedback
Optimal Health Evaluation/Blood Chemistry
New Patient Forms
Click each link below to download the new patient forms. Please completely fill out all forms prior to arriving for your first visit and bring all of them with you.
New Patient LetterNew Patient Application and Case History
Disclosure Informed Consent Permission Natural Medicine Institute
Beneficiary Form Not To Use Insurance or Medicare
Acknowledgement of Receipt of Notice of Privacy Practices