Notice of Privacy Practices for Protected Health Information (HIPAA)
Authorization to Release Medical Healthcare Information & Records
Doctor’s Referral Form
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
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
Client Massage Return Intake & Informed Consent Form
