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New Patient Forms

Natural Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

Natural Health Center of Clifton offers our patient forms online so you can complete them in the convenience of your own home or office.

Click here to call us or email us with your questions

New Patient Form

This form let’s us know the history and current state of your health. You can download them and print them out so your first visit is stress and hassle free.

New Patient Form

Medicare Personal History Form

This form let’s us know the history and current state of your health for Medicare patients. You can download them and print them out so your first visit is stress and hassle free.

Medicare Patient Form

Nutritional History Form

This form let’s us know the history and current state of your nutritional intake. You can download them and print them out so your first visit is stress and hassle free.

Nutritional History Form

Acupuncture Personal History Form

This form helps us understand the needs and goals for the acupuncture treatment. You can download them and print them out so your first visit is stress and hassle free.

Acupuncture History Form


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A $30 value, limit 1 per person or share with a friend or family member. Sorry Federal Law Prohibits Medicare / Medicaid recipients.

Location & Hours

Locations

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Office Hours

Our Regular Schedule

Monday:

11:30 am-7:00 pm

Tuesday:

1:00 pm-7:00 pm

Wednesday:

11:30 am-7:00 pm

Thursday:

11:30 am-7:00 pm

Friday:

1:00 pm-7:00 pm

Saturday:

9:30 am-1:00 pm

Sunday:

Closed