Natural Health Center of Sarasota

To make your first visit faster, please open, print and fill out these Patient Intake Forms and bring them in with you.
	for an appointment with Mary Kay Cetan DOM, please complete forms 1-6
	01. General Information
	02. Medical History
	03. Current and Former Conditions
	04. Supplements and Medications
	05. Patient Questionaire
	06. Patient Consent Form

	for an appointment with Timothy Ray Laber LMT, please complete forms 7-11
	07. General Information
	08. Medical History
	09. Current Conditions
	10. Patient Questionaire
	11. Patient Consent Form

	Note: All missed appointments and appointments cancelled with less than 24 hours notice will be charged for the full amount of scheduled treatment. Thank you for your consideration and cooperation.