Medical Evaluation forms ensure we capture your health issues and concerns so that we can appropriately discuss options to assist you to reach your optimal health.  Additionally they allow us to monitor and demonstrate your progress.  Prior to your appointment, we ask that you answer some questions about yourself. The questionnaires are below for your convenience.  Click the links to download the appropriate form, print it out, complete it and bring it with you to your initial consultation.

Prior to your appointment, we ask that you answer some questions about yourself. The questionnaires are below for your convenience.  Click the links to download the appropriate form, print it out, complete it and bring it with you to your initial consultation.

Medical Evaluation Patient Intake Form Holistic Homeopathic Acupuncture Massage Herbal Traditional Chinese Natural Medicine Center Lakeland Central Florida

Acupuncture Patient Evaluation Forms

For Alexandra Clinton Acupunture Treatment Evaluation Form

Medical Evaluation Patient Intake Form Holistic Homeopathic Acupuncture Massage Herbal Traditional Chinese Natural Medicine Center Lakeland Central Florida

General Patient Forms

If this is your first time coming in to the clinic to see Dr. Catherine Onuoha please fill out the forms below and send them to our email info@naturallakeland.com or bring them with you to your appointment.  These forms are also available in our office if you would like to wait until you come in to fill them out.

OFFICIAL INTAKE FORM

HIPPA form for Mental Health