• HOME
  • SERVICES
    • ACUPUNCTURE
    • CLINICAL NUTRITION
    • HERBAL MEDICINE
    • CHAKRA BALANCING
  • PRICING
  • ABOUT
    • SCOTT FOWLER LAC
    • DIGESTIVE HEALTH
    • BLOG
    • NEW PATIENT FORMS
  • CONTACT
  • HOME
  • SERVICES
    • ACUPUNCTURE
    • CLINICAL NUTRITION
    • HERBAL MEDICINE
    • CHAKRA BALANCING
  • PRICING
  • ABOUT
    • SCOTT FOWLER LAC
    • DIGESTIVE HEALTH
    • BLOG
    • NEW PATIENT FORMS
  • CONTACT
San Diego Natural Medicine & Acupuncture, Inc

forms

New Patient Forms
1.  Please complete Forms 1 and 2 below to bring to your first visit.
2.  View the HIPPA form for patient privacy information.

new_patient_form.pdf
File Size: 547 kb
File Type: pdf
Download File

health_history.pdf
File Size: 1478 kb
File Type: pdf
Download File

hippa_notice-1-4.docx
File Size: 52 kb
File Type: docx
Download File

*Nutrition and Herbal Consultation Patients: please bring to your appointment all medications, vitamins, herbs, or nutritional supplements that you take or are considering taking.
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