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Intake Forms

Please fill print and fill out the first three forms before your first visit. The HIPAA Privacy Acknowledgement is for your reference.

Nourish Custom Nutrition Intake Form

Health History Form

Diet and Exercise Log

HIPAA Privacy Acknowledgement

Location

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Office Hours

Our Regular Schedule

Monday:

7:15 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday:

7:15 am - 12:00 pm

closed

Wednesday:

7:15 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday:

7:15 am - 12:00 pm

closed

Friday:

6:30 am - 12:00 pm

2:00 pm - 5:00 pm

Saturday:

8:30 am - 12:00 pm

closed

Sunday:

closed

closed

Testimonials

Reviews By Our Satisfied Patients

  • "I've had back issues ever since I had a seizure several years ago. I started seeing Dr. Hill and it has helped immensely. I have far less pain now and he taught me some stretches for when it does bother me. I usually have my 7 year old son with me and Dr. Hill is great at interacting with him and explaining how things work. The front desk staff is very friendly and welcoming."
    Erin H.
  • "I would like to thank the fantastic team at Goshorn. Dr Hill has been wonderful and helping me with my back issues. A true miracle worker. The entire team has been very friendly and professional."
    Frank A.