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Autonomic Response Testing Client Forms

You have the option of either downloading these forms in .pdf format or completing the on-line form below (Scroll Down). 

Your completed .pdf may be faxed or mailed, or scanned and sent via e-mail, or completed and brought with you for your initial visit.  Mailing address, fax number, and email address can be located HERE on the Contact Us page.

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Initial Consultation Necessary Forms:  1. Consultation Agreement, 2.  Consent Form, 3. History Form

Consultation Agreement
Consent Form

Follow-Up Consultation Necessary Forms: (coming soon!)

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