Sign up for the hometree newsletter

instructions

Print and Scan: Download the form, print it, fill it out by hand, then scan or take a clear photo of each page.

Sign digitally: Use Adobe Acrobat’s free Fill & Sign tool, Mac Preview, or an online tool like DocHub to type directly into the PDF and add your signature.

When you’ve finished, please email your completed forms to: ANDREA@YOURHOMETREE.com.

Welcome to the Hometree Client Portal. Here you’ll find the forms needed to begin and continue our work together.

If you’re unsure which forms you need or run into trouble filling them out, reach out and I’ll guide you.

You can complete these forms in two ways:

Share your history, current concerns, and goals so we can begin our work together with the full picture in view.

hometree intAke form

This form outlines the nature of our work together and confirms your informed consent for treatment.

hometree consent form

Allows us to communicate and share necessary health information in compliance with HIPAA privacy standards.

hippa consent form

Gives permission to exchange your records with other providers or professionals involved in your care.

authorization for release / exchange of information

Authorizes secure communication with you by email regarding your care.

CONSENT FOR CORRESPONDENCE VIA E-MAIL

Access your personalized supplement and prescription plan through Fullscript’s secure platform.

Order prescriptions on fullscripts

Please review and sign this financial policy, which outlines the terms to support clear expectations.

financial policy