NEW CLIENT QUESTIONNAIRE


Form must be filled out at least 24 hours before appointment, and each form only needs to be filled out once per procedure.

New Patient

New Patient Form 2022

4 Page Consent

4 Page Consent Form

48 Hour Cancellation

48 Hour Cancellation Sheet

Acupuncture

IHC Acupuncture & Consent Form

Infrared Sauna

IHC DST Waiver & Consent Form

Ear Candling

IHC EC Waiver & Consent Form

Ionic Foot Bath

IHC FB Waiver & Consent Form

Hyperbaric Oxygen Chamber

IHC HBC Waiver & Consent Form

Lymphatic Drainage Massage

IHC LYMPH Waiver & Consent Form

Steam Ozone Sauna

IHC OST Waiver & Consent Form

Radio Frequency Liver/Gallbladder/Kidney Cleanse

IHC RFC Waiver & Consent Form

RIFE

IHC RIFE Waiver & Consent Form

Structural Massage

IHC Structural Massage Waiver & Consent Form

Vaginal Steam

IHC VS Waiver & Consent Form

Client Intake & Release

IHC Client Intake & Release Form