Forms

Please print and fill out these forms completely and bring with you on your first visit - Case History   Patient Discomfort IMPAC Privacy Practices

This clarifies our financial agreement with you and is needed at your first visit.   Financial Policy

If you are interested in a Nutritional evaluation, please print out this two page form, fill it out and bring it to your first visit.                Metabolic Assessment Form

If you are bringing a child under the age of 18, please print and complete this form.  Consent to Treatment of a Minor