Supporting You to Feel Your Best 607-661-5497 ~ DrLauraOffice@gmail.com
   Supporting You to Feel Your Best                                             607-661-5497 ~ DrLauraOffice@gmail.com

Intake Forms

INTAKE FORMS are available to fill out ONLINE… this will greatly help us to keep your files up to date if you are able to complete the form this way.  This will assure that we have all of the information needed to make the best treatment plan for you and that we make best use of our time together. 

 

There are two ways to fill out the form onine:

1. Fill out the form when you are scheduling your initial appointment online.

2. Go to your email that is sent to you after scheduling your appointment, click VIEW APPOINTMENT DETAILS, then EDIT FORMS.

 

If you are not able to complete the form online please print the form below and bring it with you to the visit.

 

Adult Intake Form
Adult Intake Form
Adult Intake Form 3.pdf
Adobe Acrobat document [174.0 KB]
Pediatric Intake Form
Pediatric Intake Form
Pediatric Intake Form.pdf
Adobe Acrobat document [147.5 KB]
Welcome Letter
New Patient Information2017.pdf
Adobe Acrobat document [69.0 KB]

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© 2016 Laura Sleggs ND