
| Forms |
| To speed up the new patient process and save you time, you can fill out the following forms and bring them to the office for your visit |
| New Patient Information Form Billing Information Pediatric New Patient Form Privacy Practices Natural Health Care for Kids |

| Tree of Life Health and Wellness 510 West State Street/West MLK, Jr. St. Ithaca, New York 14850 (607) 256-LIFE (5433) www.IthacaTreeofLife.com |