Medical Evaluation Patient Intake Form Holistic Homeopathic Acupuncture Massage Herbal Traditional Chinese Natural Medicine Center Lakeland Central Florida

General Patient Forms

If this is your first time coming in to the clinic we will send you a link to fill out an electronic form via hellosign after your appointment is scheduled.  These forms are also available in our office.

If you are interested in hormone replacement therapy, you can bring any of the following records to your first visit:

  1. Mammogram or Breast thermography report within that past year.
  2. Pap Smear report within the past 2 years
  3. Hormone lab testing and CBC with diff blood test report within the past 6 months.