Melissa Vidaic, L.Ac., Dipl. OM, MSOM

Helpful Forms

The following forms are designed to help us work together more easily:

Consent Form

Please sign & date

Privacy Practices

Please sign & date

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.

Mandatory Disclosure Form

Melissa's educational background, financial policy, cancelation policy, and other information. Please sign and date.

Health History Form

Comprehensive history of patient's health

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