Pre-Intake Forms for Tick Borne Illnesses
For those interested in our Tick Borne Illnesses program, please click on the link below to download the pre-intake form.
1. Print and fill the form
2. Scan the completed form.
3. Email the scanned form to firstname.lastname@example.org
The integrative physician will review the form and our staff will get back to you prior to setting up your appointment.