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NATUROPATHIC NEW PATIENT INTAKE FORM 4847 Meadows Road, #153 Lake Oswego, OR 97035 phone (971) 330.8578 fax (971) 330.8579 1 of 4

How to fill out naturopathic new patient intake

How to fill out naturopathic new patient intake:

1. Start by carefully reading and understanding all the instructions and questions provided in the intake form. This will ensure that you provide accurate and relevant information.
2. Begin by filling out basic personal details such as your full name, date of birth, contact information, and address. This information is essential for the naturopathic clinic to contact you and maintain accurate records.
3. Provide your medical history, including any previous diagnoses or conditions you may have had. Be thorough and include all relevant information such as surgeries, medications, allergies, or chronic illnesses.
4. Share your current symptoms or reasons for seeking naturopathic care. Describe any pain or discomfort you may be experiencing and provide details about the duration and severity of your symptoms.
5. Be sure to mention any medications or supplements you are currently taking. This can include over-the-counter medications, herbal remedies, vitamins, or any other substances you ingest regularly.
6. It is also important to mention any previous naturopathic treatment you may have received, whether from the same clinic or a different practitioner. This allows the naturopathic doctor to understand your previous experience and tailor their approach accordingly.
7. The intake form may also include questions about your lifestyle, such as your diet, exercise routine, stress levels, sleep patterns, and any habits like smoking or alcohol consumption. These details help the naturopathic doctor gain a holistic understanding of your health.
8. Finally, sign and date the intake form to confirm that the information provided is accurate and complete.

Who needs naturopathic new patient intake?

1. Individuals who are new to naturopathic medicine and seeking care from a naturopathic clinic.
2. People who are experiencing health concerns or symptoms that they believe can be addressed through natural and holistic approaches.
3. Patients who want to explore alternative treatment options and address the root cause of their health issues rather than simply managing symptoms.

By filling out the naturopathic new patient intake form, individuals can provide healthcare practitioners with important information about their medical history, current symptoms, lifestyle, and goals for treatment. This information is crucial for the naturopathic doctor to develop personalized treatment plans and ensure the most effective care.

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