Client Forms

Here you will find all the forms you need.  We need these forms to understand your symptoms and your condition. Your therapist will be reviewing your forms ahead of time so they must be submitted at least 24 hours before your appointment or we may need to reschedule your appointment time.

They are all digital so you simply fill them out online and click on SUBMIT for them to be sent to us securely. 

PLEASE READ THE INSTRUCTIONS provided for each form so you can fill them out as accurately as possible.

 

New Client Form

This form is required for all new clients of Conscious Body Natural Medicine.

Holistic Assessment Form

This form is required for our adult Holistic Assessment with either Dr. Karen Clickner or Dr. Kristen Poe.  For The Children's Natural Medicine Form for any child patient under 12, please click here.

Colonic Hydrotherapy Form

This form is required if you are receiving your first colonic treatment session at our clinic.

Heart Sound Recorder Questionnaire

This form is required if you are receiving your first Heart Sound Recorder test with Conscious Body.

Lymphatic Drainage Form

This form is required if you are receiving your first Decongestive Lymphatic Drainage treatment session.

Regulation Thermography Form

This form is required if you are receiving your first Thermography scan with Conscious Body.