Homegrown LLLP's Health Intake Form
All new and returning patients must fill out this form prior to speaking to one of our health care providers at Homegrown, LLLP. The information you provide helps our providers expedite their paperwork. All answers are confidential as this is protected health information. We abide by all local and federal HIPAA laws.
Never submit passwords through Google Forms.
This form was created inside of Homegrown Kush Cannabis Kards. Report Abuse