To omit having to come in early for your appointment, you can fill out the forms below and bring with you at your scheduled time.
Remember, if you do not fill these out ahead of time, please allow 30 minutes before your scheduled appointment time to come in early, so that your visit is not shortened.
All new patients to fill out the following:
ALSO, IF YOU ARE NOT AN AUTO INJURY OR WORKER’S COMP INJURY PATIENT, PLEASE FILL OUT THE INTAKE
DR. ANA SQUELLATI, NATUROPATHIC PHYSICIAN
- GENERAL HEALTH INTAKE (PDF)
- PAIN INTAKE ** ONLY FILL OUT IF YOU ARE COMING FOR PAIN CARE MANAGEMENT (PDF)
DR. TIMOTHY AKITA, CHIROPRACTIC PHYSICIAN
KATELYN DECKER & ALEX PISKER, LICENSED ACUPUNCTURISTS
MASSAGE THERAPY