Steps to fill-out and send your intake form:
1- Download the pdf version of the Intake Form
2- Fill-out and sign the form. Make sure all required fields are completed.
3- Save the pdf file
4- Upload the pdf file on the from provided here and submit your request.
** Once received your intake form, we will upload a copy to your medical chart and will notify your doctor that your intake is successfully received but the clinic’s front desk. **
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