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:: Forms

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New Patient Forms
Health and Family History Form Nov_5_2010a
File Size: 117 kb
File Type: pdf
Download File

Context Of Care - r11_2010
File Size: 61 kb
File Type: pdf
Download File

HIPAA Form Nov 2010
File Size: 89 kb
File Type: pdf
Download File

Phone consultation
Follow Up Appointment Forms
Return Visit Office Form 11_2010
File Size: 73 kb
File Type: pdf
Download File

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Payment Center

At White Lotus Health Center we strive to offer you the best service possible including providing optimal health benefits for you.  We appreciate you and look forward to each visit/consultation. 

For your ease, we utilize very safe and secure billing practices through the use cash, checks and  PayPal.  Please note, you can choose the method of payment that best suits your situation. You may use your credit card or debit card without being obligated to have a PayPal account.  

If you are an online or phone customer, you can expect to receive an email with your PayPal invoice to submit Payment.

Please call us if you have any questions or would like to schedule a treatment.
719-256-4636 or Contact Us



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