Preparing for your First Visit |
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| Click here to download the Adult Patient Health Profile Form (.pdf)
Bambini Pediatric Clinic Click here to download the Pediatric/Adolescent Intake Form (.pdf) ![]() |
Your first visit with me is the beginning of your personal healing process and the foundation of the trust, honesty and mutual respect necessary for a sacred therapeutic relationship.For our work together to be most effective, please fill out the Patient Health Profile as completely and truthfully as possible prior to your first visit. Your thoughtful and candid answers on the Profile and during our visit provide me with a deeper understanding of your health concerns and serve as the basis for my initial treatment recommendations. Phone consultations and home visits are available for those who are unable to find convenient, qualified and licensed naturopathic medical care in their community, are physically unable to come in to the office, or simply prefer the comfort and privacy of their own homes. Please call our office if you are interested in these special services. Before your first office visit or phone consultation, please mail or fax the following to my office:
Bring to your first visit: (please fax this information if it is a phone consultation)
At your first visit, you can expect that I will:
Visit TypesDr. Tom is available for in-office visits and extensive phone appointments. Please call the office nearest your location to schedule. Special in-person consultations can be arranged for patients worldwide who wish to see Dr. Tom in the comfort and privacy of their own homes. Office PoliciesDownload Office Policy Information Medical Records Request Form |





