Health Forms

Prior to your initial visit, please complete the health form and the consent form found below, and send the us the scanned forms via:


Fax: 202-833-5755

Mail it to us at: GW Center For Integrative Medicine – 908 New Hampshire Ave Suite 200 Washington, DC 20037

We will call you within 48 hours after our Medical Director has reviewed the forms to set up the first evaluation appointment. Please contact us if you do not hear from us to make sure that your form has been received.

We look forward to meeting you.


[Note: The forms are viewed and printed using Adobe Acrobat Reader, included with most computers. If you do not have a copy, go to for a quick, easy and free download.]


Cancellation Policy

When you need to cancel an appointment, we would appreciate your consideration for our providers’ time that has been set aside for you, and for the time to review your medical history that you sent us.

If you cancel less than two business days prior to the initial appointment (48 hours, Saturday for a Monday appointment), there will be a charge equal to 100% of the provider’s fee.

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