Our Forms

Download and Print Forms for Your Visit

Please click the appropriate link below.

Once form finishes downloading, print it and fill it in and bring the completed form with you to your scheduled appointment. If you have any problems or need a copy mailed to you, please call the office at (267) 406-0782.

Dr. Lachman intake children 2016

Download Children's Intake Form 2016

Naturopathic Adult Intake 2016

Naturopathic Adult Intake Form 2016

Teleconsult Patient Information:

Are you a teleconsult patient? Having Skype for your first visit puts you ahead of the game! Be sure to fax your intake form into the office 24 hours in advance of your visit, or you can submit it below. The secure fax number is: 1-888-972-5592.

Download Skype here: http://www.skype.com/en/download-skype/skype-for-computer/