Intake Forms

Welcome.  Please read the instructions carefully below and in the information packet.

For online client scheduling, click both forms below , fill out, and email as attachments to Craig@HealthAlkemy.com.  The Electronic Systems Survey form can be filled out online.  The intake forms can be filled out on your computer by most people, otherwise they will require you to print and fill out, then scan and send or simply mail to Health Alkemy 700 River Street, Santa Cruz CA 95060.

Click here Electronic_Systems_Survey_Form
Click here for initial client form and information- Health Alkemy Intake Form Online
Click here for Various Other Types of Assessment forms – Coming soon October 2014

Example Report of Findings and plan for new clients – Coming soon updated October 2014

Example of recommends report for new clients – Coming soon updated October 2014

 

Make an Appointment

Online scheduling

Location

720 River Street
River Street Wellness Center, Unit 4
Santa Cruz, CA 95060
(831) 325-3174

Hours

Our hours currently change from week to week. Contact us at healthalkemy@gmail.com for more details.

Contact

720 River Street
River Street Wellness Center, Unit 4
Santa Cruz, CA 95060
(831) 325-3174
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