This page contains all the forms you need to complete prior to your first visit with Dr. Galina. Please take the time to carefully fill them out.

Please download document which lists everything you need to know before your first visit with Dr. Galina Mahlis.  Careful review of this form will ensure that the appointment runs smoothly and on-time.

New Patient Checklist

Complete and submit this secure online questionnaire prior to your first appointment with Dr. Galina.  It takes about 30 minutes to complete.

New Patient Intake Form

Please complete the following three forms and either email them to Dr. Galina prior to your appointment or bring them with you the visit if it’s an in-office consultation.

Review of Systems

Consent for Naturopathic Treatment

Financial Responsibility

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