Forms

Here are most of Dr. Bob’s forms to complete before your first visit.  Please add your Email address to page 1 of Intake Form.   You’ll come 20 minutes early to do 2 short paper & pencil screening surveys not on the website. Click on each form to download the files in .pdf format, &  please remember to find & add phone numbers for each of your other healers .

Agreement Form

Consent for Release Formplease Remember to supply phone numbers & Email address

Limits of Confidentiality Form

Symptoms Form

Intake Form

Note that all forms are in .pdf format.  If your computer cannot open .pdf files, please download the free Adobe Reader by clicking here: Adobe Reader.

To see my wife’s site  PeggyPayne.com

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