(click on any form below to open, read, print and/or fill out)
Adult Application 
(PDF Format) or 
(Word Format)
– Please print, fill out document and bring with you to your first office visit.
Dear New Patient,
Thank you for scheduling an appointment with me. In this section you will find information to expedite your visit to our clinic. Please take a few moments to fill out the new patient form prior to your visit.
The New Patient Visit
Because of my unique approach in treating patients from a holistic view point I plan to spend a significant amount of time with you discussing all of your medical concerns and histories. I have found that taking the time to see the complete picture of the whole individual helps me to decide which treatment modalities are most appropriate for use. Although I have an extensive background in homeopathy and conventional medicine, I will often use acupuncture, nutrition and herbal therapies as tools to help patients.
My clinical experiences have taught me that the relationship between a patient and a doctor is a partnership. Your first visit to me is the beginning of our partnership in optimizing your health. Any comments, concerns or preferences will be truly appreciated.
If you are unable to keep your appointment please give our office 24-hour notice in advance. Also, as some of our patients are chemically sensitive we would ask that you not wear any perfume or cologne.
Thank you for your time and I look forward to meeting you at your first appointment
Sincerely,
Terry Pfau, D.O., H.M.D.