Health Form

I use an Adobe Acrobat PDF file to provide electronic access to my health form. You will need to have the Adobe Reader software installed to access and fill out the form. I recommend using the most recent version of Adobe Reader – available free from Adobe's website.

When saving or printing a file, be sure to use the functionality of Adobe Reader rather than your web browser. You can fill out this form in Acrobat, print and sign and return to me. Or simply print, fill out manually, sign and return to me.

Download the Health Form [PDF] here.