Please download and fill out Dr. Nate Champion and Dr. Nita Champion’s intake forms, and fax, email, or mail 2 business days prior to your appointment.
Please note: Adult Intake is for 13 years of age and older and Pediatric Intake is for 12 years of age and younger. Homeopathic form is for all ages.
- Champion Naturopathic Health Adult Intake Form (PDF)
- Champion Naturopathic Health Pediatric Intake Form (PDF)
- Champion Naturopathic Health Record Release (PDF)
- Champion Naturopathic Health Homeopathic Intake Form (PDF)
