and Natural Living Expert
Intake and Release Forms for Consulting Appointment
If you are over the age of 18, please complete the Adult Intake Form and Adult Release Form.
If you are a parent bringing your child, under the age of 18, please complete the Child Intake Form and Child Release Form.
Please complete and scan and email the completed forms at least 24 hrs prior to your appointment. Please scan and email any lab work you have had completed in the past 12 months.
Adult Intake Form
Adult Release Form
Child Intake Form
Child Release Form
If you are a parent bringing your child, under the age of 18, please complete the Child Intake Form and Child Release Form.
Please complete and scan and email the completed forms at least 24 hrs prior to your appointment. Please scan and email any lab work you have had completed in the past 12 months.
Adult Intake Form
Adult Release Form
Child Intake Form
Child Release Form
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These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.
These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.
