Please complete all 5 forms (some have multiple pages) prior to your appointment time. If you prefer, arrive 20 minutes before your scheduled appointment time to complete the forms at our office. We look forward to helping you Feel Well Again.


Serving SW Florida: Fort Myers, Fort Myers Beach, Cape Coral, Estero & Lehigh Acres
Axis Natural Medicine – Acupuncture, Herbal Medicine, Massage
7680 Cambridge Manor Place Suite 100
Fort Myers, FL 33907