New Patient Paperwork

Please complete BOTH STEPS below:

STEP 1: We know how busy you are and we want to faciliate a quicker appointment at our office. All new patients to Acacia Whole Health should download the "New Patient" form and complete it prior to your visit. This way you have more time to consider your responses, giving you the time you need to be thorough. Your information is kept confidential.

STEP 2: We look forward to assisting you with your health goals.Our license regulations require that all prospective clients register with the PMA before we are able to provide services to you.This protects your right to seek pastoral (i.e. natural) health care services, and our right to provide them to you. Please visit www.pmai.us/icras to register. After you do so you will receive a reply with a copy of your registration. This copy must be received in our office "before" or at the time of your first appointment. You can either bring it with you or forward it to us by email at acaciaishealth@aol.com. When completing the form you can use:

Practitioner Name: Dr Stefanie Funk
Practitioner email address: acaciaishealth@aol.com

Frequently Asked Questionse