FORMS 2017-12-04T17:02:49+00:00

Please complete the Primary Intake PDF Forms and Digestive Health Assessment and send via email 24 hours before your appointment time  to christine@digestivehealth.center  or use alternatively the web form on this page to upload your completed pdf forms and send it to our office that way.

Instructions how to fill in the forms and send it to us:

  1.  DOWNLOAD and save the form on your computer. Note where the pdf files are saved. This is important so you know where to look for them when attaching to the email or uploading to our website.
  2. Open the PDF file from your computer using  Adobe Acrobat Reader. Fill in the form and make sure you SAVE the data on the form by clicking on the save button. Optionally you can even print the filled in PDF form, sign it and bring it to our office in person.
  3. Send us the filled in and saved  form to christine@digestivehealth.center using your favorite email program or or you can upload them to us using the form below.

Available forms to DOWNLOAD to your computer that you can fill at home:

Download Digestive Health Assesment Form

Download Primary Intake From

Upload your Filled in PDF Forms

 

Verification

 

Office Policy Form:

Please download, sign, date, and take Office Policy Form  and Client Informed Consent with you to your first appointment. For distance clients, please download, print, fill in, scan and send via email attachment.

Christine’s Essential Cleansing Intake Forms:

Detox Intake Sheet
Toxicity Questionaire
Nutritional Supplement Intake Form
How Does Your Diet Rate
Detoxification Brochure
Total Toxic Burden Assessment
* All documents are in Adobe PDF format. Download the free Acrobat Reader at: