New Patient Forms

Please click on the link below for the new patient packet that you will need. YOU WILL NEED A PRINTER. Please select the print button at the top of your screen. Once the packet is printed out please fill it out and bring it in with you at the time of your appointment. Please be sure to inculde the new patient form, privacy policy, and no show policy in each packet. Thank You.

New Patient Packet

Please print and fill out the entire packet to bring with you to your appointment.

Pediatric New Patient Packet (6yrs & younger)

Ages 6 and under- Parents, please print and fill out the entire packet to bring with you to your appointment.

Acute New Patient Packet

Please print and fill out the entire packet to bring with you to your appointment ONLY if you have been requested to do so.

EPFX Biofeedback Form (SCIO)

Please print and fill out this form in addition to your new patient packet ONLY if you are being seen for a biofeedback session.

Neuroptimal

Please print, and circle any issues and bring to your appointment ONLY if you will be seen for neurofeedback..

Medical Records Release TO Colville Naturopathic Clinic

Please print, fil out, sign, and then submit to either the facility holding your records or to our office.

Medical Records Release FROM Colville Naturopathic Clinic

Please print, fill out, sign, and then submit to our office and we will gladly release a copy of your records.

Note: To download Adobe Acrobat Reader for free, click here.