Home   |    About EW4H    |   Map of East Asia     |   Homotoxicology

Traditional East Asian Medicine  |  Body Therapy  |  NAET  |  Reiki

 

East West 4 Health

 

Patient Information

 

Below you will find links to forms for your first visit and information on fees and policies and a price list. Please bring the forms to your first visit and be sure to read the fees and policies before your first visit. Thank You!

 

Here is a compliation of all the forms you'll need.

Forms to Read and/or fill for Your First Visit (19 pages)

Below are the individual forms in logical groupings.

Welcome

Medical History (6 pages)

SF36 Health Survey (3 pages)

Consent Form for Treatment (4 pages)


Fees

Policies

Instructions for NAET patients

Informed Consent Policy

Informed Consent Form

(All forms open with Acrobat Reader - Get Acrobat Here)

(To download these forms to your desktop for printing, right click on the form link above, then choose "save target as..." and save to your desktop. You can then open up the forms on your computer, print them out, and fill in to bring to your visit.)

 

East West 4 Health

Contact EW4H  |  Directions   |  Privacy Policy  |  Legal Disclaimer  |  Site Map   |  Patient Info Packet

 

1172 E. Delano Drive, Casa Grande, AZ 85222

Phone: (520) 421-1862 • Email: info@eastwest4health.com

© 2006 East West 4 Health All Rights Reserved

You are visitor number 1 to this site.  Site last updated July 25, 2008.