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Forms

Bedford Natural Medicine requires the completed forms returned to the office at least  2 weeks prior to your appointment . This allows us to review your healthcare concerns to make sure we can meet your healthcare needs. We are unable to hold and confirm your appointment without all filled out sections of all 4 forms. 

Thank you and we look forward to seeing you!

Forms

Patient forms for your visit

Patient Info

This form gathers your basic personal and medical information. It helps us understand your background and prepare for your first visit with the right context in mind.

Download form

Email Policy

This document explains how we communicate with you via email, including privacy considerations and expectations for response times. Please review it carefully.

Download form

Payment Policy

Here you’ll find important details about billing, insurance reimbursement, accepted payment types, and our cancellation terms. It's helpful to read this before your first visit.

Download form

Patient Profile

This form lets you share your current symptoms, medical history, lifestyle habits, and wellness goals. It helps us create a personalized care plan tailored to your needs.

Download form
Having trouble viewing the forms on a Mac?

If you're using a Mac and opening our forms with Apple Preview, you may not see the fillable fields or might need to manually enable them. For the best experience, we recommend using Adobe Reader, which ensures all forms display and function properly.

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