top of page

Client Forms

Please print these and bring them with  you to your appointment or email them to info@healthandharmonyaz.com
Homeopathy arizona

Consultation Agreement

Download this form before

your consultation to save time.

natural medicine

New Client Form

This form is for new clients and gives us a place to start.

homeopathic doctors

HIPPA Compliance Form

Mandatory HIPPA compliance form for all clients. 

Suesan Johnson  I  info@healthandharmony.com   l   Serving the greater Phoenix area

ALL RIGHTS RESERVED  l  PRIVACY POLICY  l  © 2021 BY HEALTH & HARMONY

*Information is intended solely for educational purposes; it should not be interpreted as medical advice.

bottom of page