Patient Forms
First time patients, please download and fill out the forms below prior to your first appointment. Please complete your paperwork and return PRIOR to your first visit. This allows us to focus on you and not paperwork at your first visit!

* For best results viewing this form digitally, please download this PDF to your computer. For the best compatibility view with the free Adobe Acrobat Reader software here.

Questions?
Feel free to send us an email or give us a call at 615-944-3530 if you have any questions!

Name
This field is for validation purposes and should be left unchanged.

Connect With Us:
Clinic Phone: 615-944-3530
Store Phone: 615-953-8300
Fax: 615-550-2641

   

Connect with others on our Inside Out - Healing From Within Facebook Group

Wild & Well Emporium Hours:
Monday-Thursday 7:00 am-5:00 pm
Friday 9:00 am-5:00 pm
Saturday 9:00 am-2:00 pm

IFM Clinic Hours:
Monday-Thursday 7:00 am-4:00 pm
Friday Closed

Quest lab Hours:
Monday-Thursday 7:15 am-12:30 pm and 1:30 pm-3:00 pm
Friday 9:00 am-12:30 pm

The products and the claims made about specific products on or through this site have not been evaluated by Integrative Family Medicine LLC, Dani Williamson or the United States Food and Drug Administration and are not approved to diagnose, treat, cure or prevent disease.

The information provided on this site is for informational purposes only and is not intended as a substitute for advice from your physician or other health care professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem.

All photos of Dani Williamson and Integrative Family Medicine are courtesty of Daniel C White Photography.

Privacy Policy

Sign up for my eNewsletter to receive the latest from me and get a free copy of Dani’s Food Swapping List.*

Sign up for my eNewsletter to receive the latest from me and get a free copy of Dani’s Food Swapping List.*

We respect your privacy and will never share your information with anyone!

You have Successfully Subscribed!