Holistic Alaska
Intake Portal

Patient Intake Forms

Save time at your initial evaluation by downloading and completing these forms prior to your arrival.

Standard Medical Intake Form

Required for all new patients prior to treatment.

HBOT Safety Consent Form

Specific contraindication screening for the Hyperbaric Chamber.

Note: The PDF download links are temporarily disabled while we migrate the latest 2026 HIPAA-compliant documentation versions. If you have an appointment this week, forms will be provided to you physically in the clinic!

Ready to accelerate your cellular healing?

Skip the trial-and-error. Reserve your comprehensive 90-minute evaluation with Jeana Kaufman to map out your intensive decongestive baseline.