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PATIENT FORMS

CHIROPRACTIC INTAKE FORM (Adults/Children)

Naturopathic
The intake form is online through our patient portal: Power2Patient (link)
When you scheduled your appointment you should have recieved an email with login information.
Please complete before the day of your appointment so the doctor can review your history. Otherwise we will need to reschedule you.

 

Roots Natural Medicine, 2021 Sperry Ave., Suite 31, Ventura CA 93003 (805) 339-0050