Forms

If you are new to Sages’ Healing Center, please download either the adult or pediatric health history form and informed consent for your naturopathic or acupuncture appointment.  Please read and complete these forms and bring them with you to your first appointment.

If you do not have access to a printer, please call the our office and we will be happy to mail you the appropriate forms.  If you have any questions, please contact us.

Naturopathic Forms:

Adult Health History

Pediatric (Birth – 8 years old) Health History

Informed Consent for Naturopathic Medicine

Acupuncture Forms:

Adult Health History

Pediatric (Birth – 8 years old) Health History

Informed Consent For Acupuncture

Text and logo Copyright Sages' Healing Center 2010. Background image by tombothetominator / CC BY-SA 2.0