Forms

In an effort to ensure complete transparency, you'll find the three forms you have to complete before working with Dr. Jordan available for download here. This includes the New Patient Intake Form, the Cancellation Policy, and the HIPAA Notice of Privacy Practice.

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New Patient Intake Form

HIPAA Notice of Privacy Practice

Cancellation Policy

©2019 by Fort Worth Functional Medicine. Information on Functional Medicine courtesy of the The Institute for Functional Medicine.