Naturopathic Medicine Natural Medicine, Chinese Medicine Acupuncture, Primary Care Medicine Healthcare, Illness symptoms disease health, digestion insomnia anxiety rash, menopause hot flashes pms, fatigue headaches migraines pain, injuries sprains recovery fractures
Feel Free to Call: 503.758.9760

FORMS

CLIENT FORMS

These client forms may be downloaded and filled out prior to your first appointment.
Click the button below to download the correct form.

Bend Intake Form

Portland Intake Form

TOP 10 of what we treat:

  • Acne and Dermatitis
  • Diarrhea & Constipation
  • PMS and Menstrual Cramps
  • Menopause and Peri-menopause
  • Insomnia & Adrenal Fatigue
  • Joint Pain
  • Anxiety & Depression
  • Headaches & Migraines
  • Diabetes and Low Blood Sugar
  • Hypothyroid and Hyperthyroid/Auto-Immune Conditions

Contact

Mandala Medicine & Wellness LLC
3125 E Burnside
Portland, OR 97214
ph: 503.758.9760
fax: 503.236.0303

325 NW Vermont Place, Suite 101
Bend, OR 97703
ph: 541.382.0720
fax: 541.382.0210