Eastside Natural Medicine

In preparation for your or your child's visit, please download and complete these forms:

◊ Patient Information & Health History (Pediatric)

(Generally for kids under 12 years old and/or unable to complete their own paperwork)

◊ Patient Information & Health History (Adult)

◊ Consent For Treatment & Clinic Policies


Other forms/resources:

◊ Insurance Benefits Questionnaire

◊ Notice of Privacy Practices

◊ Release of Medical Records

◊ Reasons to Call or Page

◊ Schedule of Well Child Visits