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  • About
  • Patients
  • Contact
Please call clinic to schedule appointment

NEW PATIENT PAPERWORK

  Please complete the appropriate new patient form before your first visit. 

  • New Patient Intake Form
    Provides your health history, current concerns, and other information needed for your initial visit.
  • New Patient MVC Form
    For new patients seeking care related to a motor vehicle collision. (PIP Insurance is required)


New Patient Packet (pdf)Download
New Patient Packet (MVC) (pdf)Download

CONSENT FORMS

  

Please complete the appropriate consent or authorization form for your care.

  • Peer-to-Peer Consent Form
    Authorizes communication and coordination of care between healthcare providers.
  • Medical Records Release Form – Self
    Allows you to request or receive copies of your medical records.
  • Medical Records Release Form – Provider
    Authorizes our clinic to release your medical records to another healthcare provider.
  • Peptide Therapy Consent Form
    Provides information and consent for patients beginning peptide therapy.

Medical Records Consent Form - Patient (pdf)Download
Medical Records Release Form - Provider (pdf)Download
Peer-to-Peer Consulation consent form (pdf)Download
PEPTIDE THERAPY CONSENT FORM (pdf)Download

Copyright © 2026  Integrative Family Health Clinic - All Rights Reserved.

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