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About
Staff
Dr. Rhian Young, ND
Dr. Amy Fitzpatrick, ND
Dr. Elizabeth H. Sims-Day, ND
Dr. Katie Ferree, ND
Dr. Adam Rondepierre
Services
Naturopathic Pediatrics
Naturopathic Medicine
IV Therapy
Telemedicine
Forms
Resources
Testimonials
Supplements
Contact
Patient Intake Forms
Please print the necessary forms and have them filled-out and ready upon your first office visit.
**Or sign up on Patient Ally to fill them out online!
https://www.patientally.com/
Simply ask the front desk to send an invitation to join.
Adult Intake Forms
Acupuncture Intake
HIPPA Acknowledgement 2021
Financial Policy 2021
Consent For Treatment Acupuncture & Chinese Herbs
Consent For Naturopathic Treatment
New Patient Paperwork For Adults
New Patient Insurance Info
New Patient Paperwork Checklist
Patient Insurance Verification
Medical Records Release
Naturopathic Intake
Massage Intake
Massage Consent for Treatment
Pediatrics
Pediatrics Bundle 0-1
Pediatrics Bundle 2-12
Pediatrics Bundle 3-17