Download Forms - Client Records

Locate the appropriate form below, download and complete in full. Please print out, sign and return using the form(s) below". If you do not have Adobe Acrobat Reader, you may download it by visiting the Adobe Acrobat website. To avoid delays in processing time, please be sure to fill out the form in it's entirety. 

Submit completed and signed Forms Below or Bring With When Attending  Appointment

For more information about our programs, activities, staff and more, don’t hesitate to contact us!

CONTACT

Information
Services

625 Middle Country Rd
Coram, NY 11727

631-235-0888 

Disclaimer: Our services are not meant to be used as a substitute for medical treatment,

but are meant to support and compliment traditional medical treatment.

©2018 BY  INNER LOTUS HEALING