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Pearl Natural Health
511 SW 10th Avenue, Suite 801
Portland, Oregon 97205

Please see the directions to our new office!

503-230-8973
503-230-8978 (fax)

email: pearl@pearlnaturalhealth.com
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Forms for New Patients:

For your convenience, the four forms needed at your first appointment are available here. They include:

1) intake form and health questionnaire (choose either ADULT or PEDIATRIC form depending on age)
2) consent to treatment form
3) office policies and procedures form
4) health information consent

Please download these forms and print them out. Complete the intake form and health questionnaire, and read and sign the other three forms indicating your understanding and consent.   Bring them to your appointment.

Thank you.

Adult Intake Form and Health Questionnaire
Pediatric Intake Form and Health Questionnaire
Consent to Treatment Form
Office Policies and Procedures Form
Health Information Consent