Patient Forms

Healing Horizons in Grand Junction, CO

Acupuncture Forms:

Acupuncture Consent

Acupuncture Symptom Survey

Colo. Mandatory Disclosure

​

BodyWorks/Massage Forms:

BodyWorks Consent

BodyWorks Symptom Survey

​

Homeopathy Forms

Homeopathy Consent

​

Chiropractic Care Forms:

Adult Health History-Dr. Heinecke

Child Health History-Dr. Heinecke

Infant Health History-Dr. Heinecke

Chiropractic Consent- Dr. Heinecke

Chiropractic Consent-Dr. Hawthorne

Health History-Dr. Hawthorne

​

Functional Medicine Forms:

Functional Medicine Consent

Funtional Medicine Symptom Survey 1

Functional Medicine Symptom Survey 2

Metabolic Assessment Form 1

Metabolic Assessment Form 2

​

Behavioral Health Forms:

Dr. Paula King Consent 

Dr. Paula King Medical- Rx