If you are unable to print this multiple page Intake Form, please let staff know you will need to arrive 30 minutes prior to your appointment to complete.  

New Client Form

  • Adult New Client Intake Form

    For adults 18 years or older and those who have started having menstrual cycles.

  • Pediatric New Client Intake Form

    For children under 18 and those who have not started their menstrual cycles.

  • Fees and Policies

    For all new clients to sign and bring in.

  • Telehealth Electronic Communication Policies

    Regarding phone/email/Telehealth appointments.

NAET Client Forms & Handouts

The forms below may not be needed by every client. Only print if you are requested to do so.

  • NAET New Patient Instructions

  • NAET Informed Consent

  • NAET Gate Points

  • NAET Tips for Success

    • Other Forms

    The forms below may not be needed by every client. Only print if you are requested to do so.

    Release of Records

    Use this form to request healthcare providers to send your records to Whispering Lotus Healing Center. Please do not ask for your whole chart to be sent to us. Usually, we only want specific Lab/Test Results or recent progress notes to start with. Another request can be made later if more is needed.

  • Whispering Lotus Healing Center Health Privacy Practices

Please print the last page and bring in. You do not need to print the whole document unless you’d like a copy for yourself.