New Patient Forms

Use the links below to download, fill out and print all forms

Bring a list of your current medications. Be sure to fill out the intake form as thoroughly as possible.

If you have any questions feel free to give us a call at 845-358-8385

New Patients will be required to leave a $50.00 deposit.
All payments made with a credit or debit card will incur a 3% processing fee at the time of payment.

Complete the Ozone Informed Consent Form ONLY if receiving Ozone Therapy including Chelation/Prolozone.
All therapies are MD ordered and supervised and RN administered in the state of NY.

***NOTE: If you are filling this form out on your computer, it must be opened in Adobe to be signed. If you are filling it out on your web browser then you must still print out to sign where necessary. Bring all signed copies to your first visit, thank you!

If you have any questions or would like to schedule, contact us today!

How to Contact Me?

Your Best Health is Just a Call Away!

isadoraguggenheim@msn.com

office@secondnaturecare.com

(845) 358-8385

8 Rockland Place

Nyack, New York 10960

New Patient Forms

***NOTE: If you are filling this form out on your computer, it must be opened in Adobe to be signed. If you are filling it out on your web browser then you must still print out to sign where necessary. Bring all signed copies to your first visit, thank you!

If you have any questions or would like to schedule, contact us today!

How to Contact Me?

Your Best Health is Just a Call Away!

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