If you are interested in booking your appointment with Olea Health, please print and fill out the ADULT INTAKE FORM, REVIEW OF SYMPTOMS FORM and Patient Consent form below. All FORMS MUST BE FILLED OUT.
Dr. Monika Lukacena-Russo requires a picture of the whole person in order to prescribe individually and effectively. Please complete this form as thoroughly as possible, and it will be further discussed during the first appointment.
Please note that this form is completely confidential.
**Please fill out the Adult Intake Form, Review of Symptoms Form and Patient Consent Forms and bring all three to your first scheduled visit.**
Adult Intake Form (PDF)
Review Of Symptoms Form (PDF)
Patient Consent Form (PDF)