Integrative Medicine Clayton & Clarkson Patient Forms

Please fill out these forms and bring them to your next appointment.

All New Patients:

• Assessment welcome form
• Health history form

Chiropractic, Acupuncture and Auriculotherapy:

• Consent form for surgical, diagnostic or medical procedure, or anesthesia

• Women's Integrative Health questionnaire

• Massage therapy new patient form

• Initial nutrition questionnaire

Occupational Therapy and Physical Therapy:

• Patient questionnaire