Online Forms to Fill Out at Home

Brooklyn Integrative Health Care offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • 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.
  • Fax us your printed and completed form(s) at (718) 748-6851 or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

New Patient Forms



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Hours of Operation

Monday

Closed

Tuesday

12:00 pm - 5:30 pm

Wednesday

Closed

Thursday

12:00 pm - 5:30 pm

Friday

Closed

Saturday

10:00 am - 1:00 pm

Sunday

Closed

Monday
Closed
Tuesday
12:00 pm - 5:30 pm
Wednesday
Closed
Thursday
12:00 pm - 5:30 pm
Friday
Closed
Saturday
10:00 am - 1:00 pm
Sunday
Closed

Our Location

Contact Us

We look forward to hearing from you