Forms

Welcome to Springs Natural Medicine!

Here are the forms your will need to print out and bring to your first appointment.  Just click on the name of the form and the PDF should download. You are also welcome to scan and  email the finished forms before your appointment to SpringsNaturalMedicine@gmail.com. If you have any problems downloading or printing the forms, please call us at 719-685-2500  or email us at springsnaturalmedicine@gmail.com and we will be happy to email or mail them to you.

In addition to the relevant below forms, please bring any lab work or relevant previous medical documentation.

Adult Intake Form

Pediatric Intake Form (Birth-16 yo)

Consent to Heal

Financial Policy

Consent Form

Records Release

HIPPA Form Read only

Dr Grace Calihan Acupuncture Consent Form

Please let us know with least a minimum 24 hours notice if any change with your scheduled appointment is needed.

We look forward to working with you!

 

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