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Online Forms

Back to Roots offers our patient form(s) online so they can be completed in the convenience of your own home or office.

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New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please fill out the information and click Submit once you select the link below.

Complete and Submit


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Location & Hours

Locations

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Office Hours

Our Regular Schedule

Monday:

By Appt Only

Tuesday:

Closed

Wednesday:

By Appt Only

Thursday:

By Appt Only

Friday:

By Appt Only

Saturday:

Closed

Sunday:

Closed