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Intake Forms

MAC Alternative Therapies, Inc offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Click on the links below to read and/or print forms

New Client Information Form

Permission and Authorization Form - Nutrition Response Testing

Symptom Survey 1

Symptom Survey 2

Notice of Privacy

24 Hour Notice Given


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Primary Office

*Call for appointments or supplements

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Location