HOURS: 
Mon,Tues, Thurs, Fri   
10 - 6ish
Wed: midwifery and Arvigo appointments only

 

TRANQUIL HEALING CENTER

Forms

Please excuse the inconvenience. This page is still under construction.

Naturopathic and Midwifery Forms for Dr. Terra's Patients
Please print and fill out the forms that pertain to you.

Adult Intake Form:
download    
Any new patient over the age of 13yo or current patients that have not been to the clinic.

Child Intake Formdownload  
Any new patient under the age of 13yo

HIPAA Compliance Form:
 download   
All New patients or current patients that have not yet been to the clinic.

Visit Update Form:
download
If you would like to pre-fillout this information please do. We will ask you to fill one out at the clinic prior to your return appointments.

Records Release Form: download
If you have labs, notes, or other information from a current or previous practitioner that may be helpful please fill this out.  


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