Downloadable Forms

If you call to schedule an appointment, we will email you the following intake forms and an invitation to create a personal health portal, so you can securely message your provider and access your health information.

If you prefer to fill out forms on paper, download the appropriate intake packet below and bring it completed to your first visit. If you do not have access to a printer, please call the front desk, and we will happily send you intake forms in the mail.

Adult Naturopathic Patient Intake

Pediatric Naturopathic Patient Intake: up to 5 years

Pediatric Naturopathic Patient Intake: 6-12 years

Chinese Medicine, Acupuncture, and Massage Intake

Light Therapy and Acupuncture Intake

Vaccine Consultation Intake

Office Policies

Insurance Verification

Release Of Records

Area Map

Driving Directions

Parking for Bambu Clinic