Lane, Andrea

Patient Health History

HIPAA compliance

Informed Consent to Treat

Payment & Cancellation

 

Touchet, Ariel

Ariel Touchet, ND: Please read the New Patient Welcome letter and the Statement of Financial Responsibility.  Please read and sign the Patient HIPAA Consent Form and one or both of the Consent to Naturopathic Treatment and Consent to Acupuncture Treatment.  Please fill out a copy of the  Patient Information form (if the patient is less than 18 years old, please fill out a Pediatric Intake Form instead) and return your signed forms one week prior to your appointment by e-mail, fax, mail, or drop them off at Good Life Medicine Center for Dr. Touchet to review.