New PatientsHere at Natural Health Center of Clifton we value our patients. We acknowledge that going to a new place for the first time can be nerve-wracking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home.

We think of our patients as part of our extended family, and we are excited to meet you! If you have any questions regarding your first visit, please don’t hesitate to call us at (973) 470-0687.


Online Forms

At Natural Health Center of Clifton, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

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

New Patients

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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