Please provide your details below so we can contact you regarding your patient onboarding.

What are your top 4 reasons for seeking care at 417 Integrative Medicine?

What providers have you seen for your current symptoms/concerns?

List treatments and/or medications you have tried for current concerns (if applicable).

How long have you been experiencing these symptoms or concerns that you would like to discuss with us?

Do you have a preference on which provider in our office you see?

Is there anything else you would like to mention that you think may be affecting your health?

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