Get New Patient Intake Form New Patient Intake Form - Osher Center For ...

Completing the New Patient Intake Form is an important step towards receiving personalized care at the Osher Center for Integrative Medicine. This guide will help you navigate each section of the form with clarity and confidence.

Follow the steps to complete the online form effectively.

1. Click ‘Get Form’ button to retrieve the form and open it in your preferred editing tool.
2. Begin by filling out your personal information, including your name, date of birth, and the date of completion. Ensure that all details are accurate to avoid delays in processing.
3. In the first section, articulate your goals and health concerns for this visit. This information is crucial for tailoring your treatment.
4. Share your prior experiences with alternative medicine. This helps the practitioners understand your background and expectations.
5. Provide the name of your primary care provider (PCP) and detail your last visit including the date and reasons for that appointment.
6. List any other practitioners you are currently seeing for care. This can help create a comprehensive view of your healthcare.
7. Describe your typical diet in the designated sections for breakfast, lunch, dinner, and snacks. This gives insight into your nutritional habits.
8. Answer the questions regarding your eating habits during emotional states and rush. Mark 'Yes' or 'No' as appropriate.
9. Indicate your fluid intake and the amount of caffeinated drinks you consume daily to provide further context on your health.
10. List any vitamins, minerals, or supplements you are currently taking, including the name, reason for taking them, when you started, and your daily dosage.
11. Outline major stressors in your life. Understanding stress levels can help tailor support strategies.
12. Discuss your sleeping patterns and any relaxation methods you undertake to give the practitioners a holistic view of your lifestyle.
13. Share your interests and hobbies, along with your support system, which includes family, friends, and community. This information can help in understanding your personal environment.
14. Add any additional comments you feel are necessary before signing the document.
15. Finally, ensure the form is signed by you or a responsible person along with the date and relationship to the patient, if applicable.
16. Once completed, save the changes, and choose to download, print, or share the form as required.

Start completing your New Patient Intake Form online today for a tailored health experience.