Registration Forms

New Patient Adult & Pediatric Registration Forms


We offer our new patient registration forms online so they can be completed in the privacy and convenience of your own home.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring in your completed forms with you to your first appointment.
New Patient Registration Form (Adult) – Download & Print Form
Pediatric Registration Form (0-12 years) – Download & Print Form

Get In Touch

Innate Health & Healing
169 Saxony Rd. #105
Encinitas, CA 92024
760-632-9736
Click here for directions

Office Hours

Monday: 8am – 12:30pm;  2pm – 6pm
Tuesday: 2pm – 6pm
Wednesday: 8am – 12:30pm;  2pm – 6pm
Thursday: 2pm – 6pm
Friday: 8am – 12pm

Copyright 2023 by Innate Health & Healing. All rights reserved.