Forms and Patient Information

If you are a new patient for WLHC Primary Care services, please bring the Patient Information Sheet, the Payment Policy, and HIPAA Compliance Form signed and completed on your first appointment. 

If you are seeing one of our Integrative Providers, please bring there specific New Patient Intake Forms to your first visit.

If you have further questions about any of these forms, please feel free to contact Whole Life Health Care, at 603-431-6677.

	WLHC Primary Care - Patient Information Sheet
	WLHC Primary Care - Payment Policy
	WLHC Primary Care - HIPAA Compliance
	WLHC Primary Care - Release of Medical Records
	Acupuncture - New Patient Intake Form
	Psychotherapy with Ellen Fish-Kingsbury- New Patient Information Sheet
	Ayurveda for Life  with Jennifer Carlson - New Patient Intake Form (Health Information Form)
	Ayurveda for Life  with Jennifer Carlson - New Patient Intake Form (Body Typing)
	Ayurveda for Life  with Jennifer Carlson - New Patient Intake Form (Statement of Understanding)
	Nutrition Therapy with Melissa Snow - New Patient Intake Form
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