Intake Form

Last modified December 11, 2025

Please complete your intake form at least 24 hours before your consult.
This form helps me prepare for your appointment and provide the best possible care.

How to submit your form:

  1. Download the Intake Form below.

  2. Fill it out digitally OR print it and fill it out by hand.

  3. Email the completed form to lana@horizonhomeopathy.com.
    at least 24 hours before your appointment.

Download the Intake Form