REQUIREMENTS

Please download all 3 files, fill out, and email back to us at appliednaturalhealth@gmail.com

If your visit is in-person, you may print out and bring with you to your session

Arbitration and Consent to Treat

Pediatric Intake Form

Pediatric Photo Consent Form

Google Drive Photos — we need 5 days worth of meals, following the guidelines below:

• Ingredients list (milk, formula, broths, juice pouches, snacks, etc)

• Your pots and pans

• Plates, bowls, utensils, food storage, etc

If you are breastfeeding, take pictures of everything you’re eating and drinking as well.

We will ask you to reschedule if you do not have 5 days worth of meals’ photos.