Patient Forms

Cameron Clinic of Oriental Medicine

Below are the forms you will need for your first visit with us. To view the forms, which are in .pdf format, you will need to have Adobe Acrobat Reader installed on your computer. The Pre-visit Package contains seven forms. Two of them - What to Expect and Office Policies -  are for your information. You will need to print out and complete the other five forms in this packet before your first visit. They include the Patient Intake Form, Consent for Treatment, Notice of Privacy Practice, Metabolic Assessment and NTAF forms. 

If your appointment is with Nan Cameron, you also need to obtain lab and diagnostic reports for the past two years and mail or bring them to our office three weeks before your first visit. You may request that your physician’s office fax us at 910-342-0993 copies of your labs, x-ray, CT scan and MRI reports from the last two years before your first visit.  Once we have received all of your information, you will be contacted to schedule a new patient visit.  We are looking forward to being a part of your health care team.