Get Tn Karen Craven Acupuncture V-steam Patient Intake Form

Completing the TN Karen Craven Acupuncture V-Steam Patient Intake Form online is a straightforward process designed to help practitioners understand your health needs. This guide will provide clear and supportive instructions for each section of the form.

Follow the steps to complete your patient intake form online

1. Press the ‘Get Form’ button to access the V-Steam Patient Intake Form and open it in your preferred digital editor.
2. Begin by entering the date at the top of the form to indicate when you are filling it out.
3. Provide your full name in the designated field to ensure accurate identification.
4. For new patients, fill out your date of birth, street address, city, state, and zip code in the specified areas.
5. Enter your email address to facilitate communication regarding your treatment.
6. Select your preferred contact method by checking the box next to your choice: home phone, cell phone, or work phone.
7. Fill in the emergency contact information, including the contact's name, relationship to you, and their phone number.
8. Indicate how you heard about the clinic by filling in the appropriate section with the name of the referral source or other method.
9. In the conditions treatment section, check all applicable boxes that relate to your health concerns requiring V-Steam treatment.
10. List any medications you have taken within the last two months, including vitamins and over-the-counter drugs. Include the medication name, dosage, frequency, and reason for taking each.
11. Read the notes regarding risks associated with steam therapy, specifically about burns and sensitivities to herbs.
12. Confirm the accuracy of the information provided by signing the form in the space designated for your signature.
13. Finally, save your changes and download or print the completed form to return it by the specified methods: in person, via email, or fax.

Complete the TN Karen Craven Acupuncture V-Steam Patient Intake Form online today for a seamless experience.