Naturopathic Intake Form (Child)

Child Intake Form (10 years and under) Step 1 of 3 33% The staff and practitioners at Innermedica would like to welcome you to the clinic. The Naturopathic portion of this clinic utilizes the principles of the healing power of nature and other supportive therapies to...

Naturopathic Intake Form (Adult)

Naturopathic Adult Intake Form (11 years and older) New Patient Intake Form Step 1 of 5 20% The staff and practitioners at Innermedica would like to welcome you to the clinic. The Naturopathic portion of this clinic utilizes the principles of the healing power of...

Covid-19 Informed Consent

COVID-19 Informed Consent Informed Consent / Declaration for In-Office Visits during COVID-19 Pandemic Please read carefully below:Date of your appointment* Date Format: MM slash DD slash YYYY PATIENT NAME* First Last I agree to the following: I have not been in...