Clinic Forms


New Patients: Print and fill out this form to speed up the intake process during your first visit.

New Patient Health History Form (PDF, Adobe Reader required)

Release Integrative Medicine
529 Main St, Suite P 200
Schrafft Center

Charlestown, MA 02129-1125
Phone: 857-760-4898
Fax: 857-305-7090
Office Hours

Get in touch