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Forms:

 

Initial (First) Naturopathic Appointment - 
 

Adult - Please print ( Intake and Review ), complete, and bring with you.

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Child under 10 years old. ---  Pediatric Form

In office you will be given to fill out 
New Patient Information Form and asked to read Privacy ActConsent form and Email Policies. 

©Naturopathic & Acupuncture Health Center, 274 Silas Deane Highway, Wethersfield, CT 06109 (860) 529-1200

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