Patient Registration Form

Please click on, print, fill out, and submit the following form: Patient Registration Form

Required Initial Intake

A visit to a Naturopathic doctor is definitely worth the time and effort you put into it.  You are encouraged to be an active participant in your health.   You may be surprised at how much emphasis is given to the initial intake. At your initial intake you will be asked to bring any supplements you are taking to assess their dosing and quality, specifically in regards to your personal needs. You will also be asked to bring a list of prescription medications you are taking so that we can be certain there are no interactions between the prescriptions and any supplements or any foods you may use. This initial intake will last about one hour and will provide an opportunity for the Doctor as Teacher to be one of your first experiences, as you become educated about your health.   For your first visit you will also be asked to bring any other pertinent information you have so your personal plan can be further tailored to you.


Payment is due in full at the time of visit. Cash, Checks, Visa, Master Card, and Discover are accepted forms of payment.

Cancellation Policy

Olive Branch Wellness requires a 24 hour advance notice in order for any appointment to be cancelled without incurring a cancellation fee. Cancellations must have been received during regular business hours, Monday through Friday, 10am – 7pm. Any appointment canceled at other times or not with 24 hour’s notice will be charged $200.00.