Harmony Mountain Institute

Patient Forms

 
 

Patient Forms

New patients and guests of retreat program have the option to fill out forms in advance or do upon arrival for appointment unless stated otherwise. Patients understand they have more time with the Doctor if done in advance.

 
 
 

 

New Patient Application Form

All new patients can fill out form prior to appointment and either email back to us, or bring the completed form to your appointment.

Please Email form back to: peter@harmonymountaininstitute.com

 

 

New Patient Application Form

All new patients can fill out form prior to appointment and either email back to us, or bring the completed form to your appointment.

Please Email form back to: peter@harmonymountaininstitute.com

 

 

wellness agreement form

Please download form and sign and email back to: peter@harmonymountaininstitute.com

 

 

Food Choices form

This form is for clients participating in the Harmony Mountain Institute Weekend Retreat Program for included meal preferences. This form must be completed at least 1 week prior to arrival.

 

 

Primordial sound meditation form

This form is for clients learning Primordial Sound Meditation (PSM). This form must be completed at least 1 week prior to arrival.