MMJ Patients – Please fill out the appropriate forms before your visit and bring the completed forms to your appointment.

New MMJ Patient: Medical Marijuana (MMJ) INTAKE FORM + privacy acknowledgement

Current MMJ Patient: MMJ INTAKE FORM

All other patients – we will need to receive your completed intake forms at least one working day before your first appointment – by Tuesday if your appointment is on Thursday, by Thursday if your appointment is on Tuesday.

Choose the appropriate form:

General Health History

Sinus Health History

Asthma Health History

Asthma Sinus Health History

Fully Alive Privacy Policy:

FAM HIPAA Notice of Privacy Laws