Health History Forms

 Please fill out the appropriate form and call or email to schedule a free 50 minute health history review. After we have reviewed your health history we will discuss any potential benefits for you for either for an individual or a group session. There is no obligation or cost associated with this review. 


And if you feel technically challenged to use these forms, no worries, we will just make it a verbal interview.  

Contact Us

Drop us a line!

Elemental Health

(804) 261-2325