Online Forms

We offer our general intake forms online for your convenience. We invite you to print the applicable forms, fill them out, and bring them along for your initial visit to SuNu Wellness Center. Please read the forms carefully and print clearly. We are happy to answer any questions you may have in reference to these forms.

NOTE: Insurance claims may require additional paperwork at time of visit.

Forms:

Adult Intake Forms (age 13 & older): 

General Intake PACKET – Adult

Pediatric Intake Forms (birth to 13 years):

General Intake PACKET – Child to 13Yrs

Deborah Walters Naturopath/Homeopath Intake Forms:

Homeopath Intake

Client’s Bill of Rights

Notice of Privacy Practice and Consent to Treat Form

Insurance Questionnaire:

SuNu Wellness Insurance Questionnaire

Automobile Accident Questionnaire

HIPAA forms:

Notice of Privacy Practice and Consent to Treat Form