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Preparing for Your First Appointment

Download and complete the following forms. Please bring these to your first appointment.


  1. Patient Information Form

  2. Health History Form


The next two forms are only available online. Please complete these prior to your appointment. 

  1. Review of Symptoms Form (online only)

  2. Insurance Information Form (online only)


You may also find it helpful to learn more about naturopathic medicine and what to expect at your first appointment.

Follow Up Appointment Forms

Dr. Rinde may need you to track the appearance of certain symptoms. The forms below may be required based on the recommendation of Dr. Rinde.


  • Diet Diary Log

  • Return Visit Forms

  • Digestive Wellness Assessment

  • Metabolic Screening Questionnaire

  • Female Hormone Questionnaire

  • Stressa nd Mood Assessment

  • Fodmap Frequency Questionnaire

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