Naturopathic Patients

 

Are you interested in booking your appointment with Olea Health, call us right away, then fill out the ADULT INTAKE FORM and REVIEW OF SYMPTOMS FORM below.  BOTH 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 and Review of Symptoms Form and bring both to your first scheduled visit.**

 

Adult Intake Form (PDF)

Review of Symptoms (PDF)

Pediatric Intake Form (PDF)