Intake Forms
Please fill out as thoroughly as possible and either email (Dr. Chris Ford - drford@roots-to-health.com or Dr. Darcie Pawlick - drpawlick@roots-to-health.com) or fax (778-481-5009) them back to us or print it out and bring them to your initial visit.
Note: Please save the form to your computer desktop BEFORE filling it out in order to save it after it has been completed. If you have any questions please contact us.
Adult Intake Form
| Roots to Health Intake Form - Adult |
Child Intake Form - 12 and under
| Roots to Health Intake Form - Child |
Adult and Child Consent Form
| Roots to Health Consent Form |
Acupuncture Intake Form
| Roots to Health Intake Form - Acupuncture |
Acupuncture Consent Form
| Roots to Health Consent Form - Acupuncture |
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