New Patients
Once you have booked your initial visit, please download the required forms below and take a few minutes to fill them out. You will need to bring these completed forms with you to your initial visit.
Also, please bring in copies of any recent bloodwork results as well as any medications/supplements you are currently taking.
Also, please bring in copies of any recent bloodwork results as well as any medications/supplements you are currently taking.
Appointment with Dr. Bender ND
Adult Intake Form | |
File Size: | 259 kb |
File Type: |
Pediatric Intake Form | |
File Size: | 269 kb |
File Type: |