Forms

ALL PRACTITIONERS:

• General Intake Form – For all clients at Synergea, you may print this form and bring it to your appointment, or you may complete it upon arrival.
• Female Client Supplemental Form – For all female clients (16 years or older) you may print this form, complete it and bring with you to your appointment.

NATUROPATHIC FORMS:

• Naturopathic Client Intake Form
• Naturopathic Pediatric Client Intake Form

ACUPUNCTURE FORMS:

• Acupuncture Intake Form

OTHER FORMS:

• Financial Policy
• Chiropractic Pediatric Intake Form