3410 Six Forks Rd.
Raleigh, NC 27609
(t) 919-825-3888
(f) 888-304-9394
admin@bloomintegrativehealth.com

contact | appointments / hours

Forms

Raleigh acupuncture | Raleigh acupuncturist | Raleigh naturopath | Raleigh alternative healthcare | North Carolina acupuncture | Meaghan Dishman, ND, L.Ac. | Bloom Integrative Health

Please visit our Patient Portal where you can fill out all of your forms online.
If you are unable to fill out forms online:

  • Please call us and we can walk you through how to fill out your forms online.

*All forms must be completed at least 5-7 days prior to your new patient appointment for adequate time to review.

Please note: if you are on our Wait-list, you will be moved to the TOP of our Wait-list by filling out your New Patient Forms ASAP. Once we receive your forms, your name will move to the top of the Wait-list, in the order they are received.

Before filling out any forms, please take a moment to read through this Introductory Patient Information prior.