Patient Forms

New Patient Forms

Health Center Patients

Thank you for taking the time to download and complete these forms prior to your first appointment.  Please bring them with you and give them to the receptionist when you check in.

Patient Registration Form (Please Complete) and Healing Gardens Health Center Patient Policies (please review)

Notice of Privacy Practices (2 pages) Please sign and print the acknowledgement of receipt page)

Patient Personal History (2 pages)

 

Medicinal Store Holistic Medicine Consultation Patients

If you have scheduled a consultation with a Healing Gardens provider through the Healing Gardens Medicinal Store, please complete the following packet for your appointment.

Holistic Medicine Consultation (5 pages)

Patient Registration Form (Please Complete) and Healing Gardens Health Center Patient Policies (please review)

Notice of Privacy Practices (2 pages) Please sign and print the acknowledgement of receipt page)

Patient Personal History (2 pages)