All new patients must fill out New Patient Forms prior to their appointment. These forms are standard for doctor offices; Name, address, contact info along with Privacy Policy, Health Disclosure Information, Cancellation Policy, Health Questions and such.  Pure Elements Healing is a sustainable/green business and only provides paperwork online via our HIPAA complaint patient portal. Which means your information is protected.

 

Follow the link below “NEW PATIENT PAPERWORK CLICK HERE!”

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CREATE YOUR LOG IN

“Create New Account”

 

 

FILL OUT YOUR LOG IN INFORMATION

Click “Submit” when complete

 

 

CONFIRM YOUR EMAIL ADDRESS

Once confirmed you will be able to log in and fill out your New Patient Forms

 

 

LOG IN

Enter your Email and Password

 

 

EDIT NEW PATIENT FORMS

Click “EDIT” to the right of NEW PATIENT FORMS

 

 

FILL OUT AND READ NEW PATIENT FORMS

 

 

SUBMIT FORM

Once complete and signed electronically, click “SUBMIT FORM”

LOG OUT when complete