New patients (and patients returning after over 12 months or who have recently experienced significant medical changes):
Please download the current intake form and return it completed via e-mail (firstname.lastname@example.org) at least 12 hours before your appointment.
If you plan on bringing in a printed copy of your intake form or prefer to be given the form in person at your first appointment, please additionally fill out the online Covid-19 form listed below “returning patients”.
Returning patients: Please submit the online “Pre-session Covid-19 form” listed below, at least 12 hours before your appointment. (Or contact Fred Samorodin at email@example.com)