Clinic Forms & Helpful Handouts
Intake Forms (click on the form name below to download PDF form)
- Intake Form – Registration
- Intake Form – Telemedicine Consent
- Intake Form – Adult Health History
- Intake Form – Pediatric Health History
- Intake Form – Financial Agreement
- If you would like us to receive records from a previous physician: Intake Form – Release of Records
- For your information (do not need to print unless you want a copy for your records): Intake Form – Privacy Notices
- For patients with Health Net/American Specialty Health Networks Insurance only: Intake Form – ASHN Initial Health Status
By downloading these files you agree that you understand
the information in these handouts is for your information only and is not intended to treat.
As always, consult with your physician before starting any new treatment or therapies.
Handouts (click on the handout name below to download PDF handout)
- 10-Day Detox
- Acne
- Acne – a Nauropathic Approach to Treatment
- Anti-Inflammatory Diet
- Baking With Alternative Grains
- Benefits of Bananas
- Boosting Your Immune System
- Breastfeeding Benefits & Suggestions
- Cancer – a Naturopathic Approach
- Candida – Dietary Suggestions
- Castor Oil Pack Treatment
- Childhood Nutrition
- Chronic Fatigue Syndrome
- Cleansing & Maintenance 7-Day Detox Shopping List
- Cleansing & Maintenance 7-Day Detox Diet
- Colds & Flu
- Colds & Flus – Prevention
- Constitutional Hydrotherpy – Home Application
- Cooking with Whole Grains
- Diabetes – Optimizing Blood Sugar
- Diet Diary
- Ear Infections
- Elimination-Challenge Diet
- Energy Zappers
- Fever – Understanding & Management
- Fibromylagia
- Foods That Love the Liver
- Gluten-free Grains
- HCG Diet – Is This Diet For You
- HCG Diet – Pounds & Inches
- HCG Diet – Supplies List
- HCL Challenge for Hypochlorhydria
- High Cholesterol
- Homeopathic Medicine
- Homeopathy Simply Explained
- Hormones In Food
- Hot Fomentation – Home Application
- Iodoral Information
- Menopause Overview
- Nasal Lavage
- Nutrients & Immunity
- Pre-Conception Suggestions for Men
- Pre-Conception Suggestions for Women
- Reducing Household Pollutants
- Rotating Seeds Protocol
- Surgery Preparation
- Surgical Menopause Overview
- Throat Compress
- Toxicity of Herbs In Pregnancy
- Two Week Detox
- Warming Socks Treatment
- Wheat-Containing Foods
- Wheat-free and Dairy-free Diet Options