(914) 631-7911 [email protected]
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Tarrytown Functional Medicine
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We appreciate your interest in Functional Medicine and your commitment to improving your health!

Please print all of the patient forms in the links below and complete the information before your first appointment. 

 Initial Patient Forms

    • Initial Health Assessment 
    • General Information Form
    • HIPAA Consent
    • Informed Consent
    • Consent to Share Information
    • Payment and Cancellation Agreement
    • Privacy Notice (no need to print)

 

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