Forms

Forms are part of every medical office.Please down load the forms that are important for your appointment.

PLEASE ARRIVE AT LEAST 15 MINUTES BEFORE YOUR SCHEDULED APPOINTMENT to complete your registration. If you do NOT have your completed forms with you or, if you arrive more than 15 minutes later that your scheduled appointment time, it may be necessary to reschedule your appointment to be fair to other patients.  Thank you for helping us serve everyone to the best of our ability.

These forms are in pdf format. Download free reader HERE.

New Patient visit forms  (adult and child 11yr and over)    Adult Forms HERE 

New Patient visit forms (child – up to 10yo)   HERE

Privacy – HIPPA release forms     HERE

Breast History Form  HERE      

Thermography instructions   HERE

Homeoprophylaxis release form for Dr Janet (HP)  HERE

Vaccine Consult release form  HERE

Matt Grant, DC   New patient forms  HERE

Environmental Allergy Treatment Instructions HERE

 

 

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