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If you have scheduled an initial visit at Primary

Naturopathic, we ask that you complete a

welcome packet prior to your first appointment.


The packet includes a series of forms to apprise the

doctor of your personal and medical history and a

diet diary with 3 days worth of data on your

typical eating habits.


The forms provided below must be returned at least

2 business days in advance of your appointment.  Please remember to get started on your diet diary early as it can require almost a week to complete.


It is also helpful to include any pertinent medical records such as recent labwork if possible. 


Please submit completed forms by one of the following options:

  1. scan and email them to drtara@primarynaturopathic.com 

  2. fax them to (510) 722-2223

  3. mail or deliver them to: 2615 Ashby Ave Berkeley, CA 94705 c/o Primary Naturopathic.


New Patient Welcome Packet

Naturopathic MedicineNaturopathic_Medicine.html
Common ComplaintsCommon_Complaints.html
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PediatricsPediatrics.html
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Curcuma longa (turmeric)

PRIMARY NATUROPATHIC

Map & Driving Directions

2615 Ashby Ave | Berkeley, CA 94705 | P: 510.845.8600 | F: 510.722.2223

Email: inquiries@primarynaturopathic.com

ADULT MALE WELCOME PACKET
Forms_files/BNMG_welcome_packet_male.pdf
ADULT FEMALE WELCOME PACKET
Forms_files/BNMG_welcome_packet_female.pdf
NEWBORN
WELCOME PACKET
Forms_files/BNMG_welcome_packet_newborn.pdf
PEDIATRIC
 WELCOME PACKET
Forms_files/BNMG_welcome_packet_peds.pdf

Click the following shortcut buttons to download the appropriate packets:

Download the appropriate

forms individually:

Complete one of these . . .

   Health History Questionnaires

  1. Bullet Male

  2. Bullet Female

  3. Bullet Child

  4. Bullet Newborn

. . . one of these . . .

   Patient Information Form

  1. Bullet Adult

  2. Bullet Child

. . . and each of the following:

  1. Bullet Context of Care

  2. Bullet Diet Diary Instructions

  3. Bullet Diet Diary

  4. Bullet Client Fees & Payment Policies

  5. Bullet Informed Consent

Please keep a copy of this for your records:

  1. Bullet Notice of Privacy Practices

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