Forms & Paperwork

Fill out all of your patient and billing information here!

ChARM Online Scheduling & Patient Portal

Document links for New Patient Forms For Eastside Natural Medicine (skip this if on the Patient Portal):

New Patient Registration Form (Adults & Kids)

Newborn Only Health History & Intake Form

New Patient Health History & Intake Form (Adults & Kids)

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The following are additional forms for Jannae Rice ONLY:

(patients of all other providers need to fill out the paperwork above)

New Children Patient Intake

New Adult Patient Intake

Forms Packet for All Patients