Dr Eli Silver, Naturopathic Doctor and Classical Homeopath
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Intake Forms

For online visits, please download and fill out the following intake form, save it, and return it via Dr Silver's secure email system before your visit. If you are unable to save the data on this form, it can be printed, filled out by hand, scanned, and returned by email. 
Click Here to Download Your Intake Form
Click Here to Send Your Intake Form
If your visit is in person, feel free to print this form and fill it out ahead of time to bring to your visit. Intake forms can also be completed in the office before your visit starts. ​
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Dr Silver's medical license is issued by the state of Vermont. In order to assist as many people as possible, he works nationally as a Naturopathic Health Coach.
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  • Home
  • Holistic Fertility
  • Health News
  • Book Now
  • Contact
  • FAQ