Vital Health Clinic Intake Forms

Please download and fill out Vital Health Clinic’s intake forms below. You can either email them to me at nd.candida@gmail.com or bring them with you to your first visit.

These are the two forms I need filled out for  the INITIAL Naturopathic appointments. 

Vital Health Clinic Informed Consent Final

VITAL Health Adult Intake form

 

This is the ONLY form I need filled out for in person, phone for Wi-Fi Intuitive Energywork Appointments. 

Energy work Liabilty Release

Schedule a FREE 20 minute interview to see if we are a good fit to work together on your health

Happy to offer a Superbill that you submit to your insurance for reimbursement! Researching getting on insurance panels in Maine. More to come!