Call today to make an appointment: (616) 264-6556

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New Client Forms

Below are New Client Paperwork for your convenience. Please print the appropriate forms and bring them with you to your appointment. Clienets that are 16 and under should used Pediatric Intake Form.

• Patient Intake for Adults
• Patient Intake for Pediatrics (16 and under)
• Policies and Procedures
• Homeopathic Intake Form

© 2012 Kelly S. Hassberger, ND | Grand Rapids Natural Health

***Because the state of Michigan does not regulate or license the profession of naturopathic medicine, Kelly S. Hassberger, ND cannot diagnose or treat disease. For this reason it is recommended that you consult with your licensed medical doctor for any medical advice, diagnosis, or treatment***