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Notice of Privacy Practices for Protected Health Information (HIPAA)

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Authorization to Release Medical Healthcare Information & Records

Doctor’s Referral Form

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Press button to download a doctor referral form. This form will allow you to add your doctor’s name to the form and print or “Save As” to a different PDF name. Please submit form to your doctor for proper referral.

Physician Consent Form

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Use this form when doctor approval is require before Naturally Optimal can prescribe nutrition or performing medical massage/bodywork.

Client Massage Initial Intake & Informed Consent Form

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Client Massage Return Intake & Informed Consent Form

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