Please select the forms below you would like to download. If you are coming in for your first visit with Dr. Miller, the first three forms would be the most useful to fill out. If they are received before hand, they will be reviewed prior to your visit. You can either scan and email your forms to firstname.lastname@example.org, fax them to (603)590-6318, or send by mail to 660 Central Ave. Ste 201A Dover, NH 03820. You can also arrive 20 minutes early to your appointment to fill out your paperwork at The Luna Center for Natural Health.
|Patient Information Form.doc||28.5 KB|
|Adult Intake Form.doc||35.5 KB|
|Consent to Treat .doc||25.5 KB|
|Authorization to Release Information.doc||35 KB|
|Notice of Privacy Practices||39.68 KB|