Riverside CA
  BODYCARE CLINIC 951.680.9685
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  • Detox w/ Dr. T
  • Laser
  • Weight Management
  • Nutrition
  • New Patient
  • Contact
  • Techniques
  • Team
  • Home
  • Detox w/ Dr. T
  • Laser
  • Weight Management
  • Nutrition
  • New Patient
  • Contact
  • Techniques
  • Team

​New Patient Forms

Here are the forms we use to gather information about your health concerns as a new patient. You have two options:
     
     Download and print
 the two forms, then fill them out and bring them to your first appointment.
​      or//
     Download and complete the fillable forms on your computer. After filling them out, follow
      the instructions below to email them to us before your appointment.

              1. Download the fillable PDF by clicking the link below - "Download File".
              2. Open the form and fill it out directly on your computer.
              3. Once completed, save the form to your device.
              4. Attach the saved PDF to an email and send it to [email protected]
BODYCARE Clinic - Fillable New Patient History Form (2 pages)
File Size: 521 kb
File Type: pdf
Download File

BODYCARE Clinic - Fillable Symptom Survey (2 pages)
File Size: 797 kb
File Type: pdf
Download File

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