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

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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