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Baker Family Naturopathic
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  • About
    • What is Naturopathy?
    • Dr. Emma Baker, ND
  • Services
    • Naturopathic Medicine
    • Functional Medicine
    • Women’s Health
    • – Hormone Balancing
    • – Bioidentical Hormones
    • – Breast Cancer Care
    • – Pregnancy Support
    • Pediatrics
    • Massage
    • Bowen Technique
    • Infrared Sauna
  • Conditions
    • Adrenal Fatigue
    • Low energy
    • Hypothyroid & Hashimoto’s
    • Menopause
    • Hot Flashes
    • PMS
    • Irregular Periods
    • Acne
    • Eczema
    • Allergies
    • Depression
    • Anxiety
    • Digestion Disorders
  • Patient Resources
    • Clinic Forms
    • Appointment & Fees
    • Servicios médicos en español
    • Medicinary/ Buy Supplements Online
    • Clean Living
    • Parent Support
  • Contact
Connect with us: 541.322.3941

Home » Patient Resources » Clinic Forms

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.

New Patient Intake Form

New Pediatric Patient Intake Form

Consent of Telemedicine Health Service

Release of Medical Records

Notice of Privacy Practices

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