Online Forms

Natural Healthcare Specialties offers our patient forms online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring your completed forms with you to your appointment.
  • If you have recent lab work results please bring us copies.

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please print & complete these 2 forms and bring them to your first appointment, thank you.

Download #1

Welcome & Registration Form

Download #2

Clinic Objectives & Consent Form

Form #3 When you schedule your appointment, our office will send you the questionnaire via email

In order to complete the online Nutri-Q assessment you will receive 2 emails:

Email #1. “Nutri-Q: Verify your email Id” Click on the link in the email to verify your email.

(Once you verify your email, you will receive a second email)

Email #2. “Take an online Nutritional Assessment Questionnaire” Click on the link in this email to complete the questionnaire.

(Please complete this form online, if this is not possible please call our office. 480-496-4949)