New Patients of Patricia Hallam, L.Ac.:
Please print out and fill in these two forms ahead of time and bring to your first visit (click on the links below to open and print the files):
Patient Information & Financial Policy Agreement
New Patients of Dr. Daivati Bharadvaj, N.D.:
Please print out and fill in these forms ahead of time and bring to your first visit (click on the link below to open and print the files):
New Patient Forms for Dr. Daivati
Also, before your first appointment with Dr. Daivati, please fill out your insurance information using the online form below (coming soon). Use “Alive & Well Healing Arts” as the healthcare provider name. And bring your insurance card with you at our first appointment. Thanks!