Use the links below to download all forms:

Bring a list of your current medications.

Be sure to fill out the intake form as thoroughly as possible.

If you have any questions feel free to give us a call!

Patient Intake Form



Ozone Informed Consent



***All new patients will be required to leave a deposit for new patient consults.*** 

Complete the Ozone Informed Consent Form 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