Intake Forms
It is important that you are able to complete
these papers before your appointment so that Dr.
Godby can make a full assessment of your health.
Please allow one hour to thoroughly fill out
intake forms.
Forms may be opened in your browser or downloaded directly by "right clicking" over document and selecting "Save Target As" or "Save Link As".
Forms are provided in Adobe Acrobat Reader.
- Welcome Letter
-
Context of Care Overview
-
Notice of Privacy Practice
- Informed Consent
-
Confidential Personal Information
-
Nutritional Supplement Intake
-
Health History (2 pages)
-
Health Appraisal Questionnaire
(6 pages)
For Children’s Appointments:
Fill out forms 1-7.
For first time adult patients: Fill out ALL forms (1-8).
-For directions, please see the "Contact Us" tab.
Parking spots #23 and 24 are available for patient
use.
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Sacramento
Naturopathic Medical Center treats you from a
whole person perspective (psychologically,
emotionally, etc), identifies and addresses the
causes of your "dis-ease" with non-toxic, natural
therapies, helps you prevent illness and live your
life's journey to the fullest, with compassionate
support from our staff along the way!
