Intake Form - AdultPlease use this form for an adult coming for an initial consultation. You may either download, print, fill out, and bring with you to the appointment or email to dzwolinski@gmail.com. Also, please do not brush your tongue the day of your appointment, as I will be examining the tongue as part of your consultation. Thank you!
New Patient - Adult.pdf Adobe Acrobat document [427.7 KB]