CLINIC FORMS

All patient health information is kept strictly confidential at Baker Family Naturopathic. We follow HIPPA guidelines to keep your information safe. To receive a copy of our privacy statement, please open the “notice of privacy practices” below or contact our office. We are more than happy to give you one.

Notice of Privacy Practices Privacy Practices

New Patient Intake Form

New Pediatric Patient Intake Form

Release of Medical Records Request Form