Please complete the Primary Intake PDF Forms and Digestive Health Assessment and send via email 24 hours before your appointment time to firstname.lastname@example.org 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:
- 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.
- 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.
- Send us the filled in and saved form to email@example.com using your favorite email program 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 Form
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
Nutritional Supplement Intake Form
How Does Your Diet Rate
Total Toxic Burden Assessment
* All documents are in Adobe PDF format. Download the free Acrobat Reader at: