PATIENT FORMS

Below you will find a list of downloadable patient / client forms. Click on the form you wish to download.

  • Adult Intake Form – First time patients 18 and older, fill out this form and bring it with you to your first visit.

    Natural Reflections web-res2

    Patient with therapy dog

  • Pediatric Intake Form – First time patients 2 weeks to 17 years old, fill out this form and bring with you to your visit.
  • Privacy Practices – This handout provides our patients with information about their rights regarding their health information.
  • Verifying Benefits -Use this form when calling your insurance company to understand what your plan will cover.