Use the links below to download all forms:

Be sure to fill intake form as thoroughly as possible. If you have any questions feel free to give us a call!

Remember:

  • Bring a list of your current medications

1. Patient Intake Form

2.   Ozone Informed Consent *

* Complete the Ozone Informed Consent above ONLY if receiving Ozone Therapy including Chelation/Prolozone

All therapies are MD ordered and supervised and RN administered in the state of NY

Cost of Services