Points of Origin Intake Forms

Please Note: Points of Origin will be CLOSED Fri Aug 1st & Mon Aug 4th. You can still call and leave us a voicemail at 360-449-4500 and we will return your call when we are back in the office on Tues Aug 5th. Be well!

Our office is usually open from 8:30 a.m. to 6:00 p.m. We answer the phone only between 9 and 5. Your call is very important to us.

Please call during the following Office Hours:

Monday: 9:00 a.m. - 5:00 p.m.
Tuesday: 9:00 a.m. - 5:00 p.m.
Wednesday: Closed or Variable Hours
Thursday: 9:00 a.m. - 5:00 p.m.
Friday: 9:00 a.m. - 5:00 p.m.

(360) 449-4500

We Welcome Your Call


When you call, let us know whether you are scheduling with Peter or Lisa. You may download your "Welcome Packet" which contains important information for you to fill out before your first appointment. Simply click on the appropriate document links below and the documents will conveniently open as PDFs so you can print them out.

NOTE: If you do not have a PDF document reader you can download the Adobe PDF Reader here for free. Get Adobe PDF Reader

Welcome Packet For Teenagers, Adults & Seniors (14 years and older) open and print these 4 forms:

  1. Welcome Letter - Read only

  2. New Patient Intake Form - Fill out and bring with you

  3. Informed Consent Form - Read, sign and bring with you

  4. Financial Agreement & Cancellation Policies Form - Read, sign and bring with you

Welcome Packet For Pediatric Visits (13 years and younger) download these 4 forms:

  1. Welcome Letter for Parents - Read only

  2. Pediatric Intake Form - Fill out and bring with you

  3. Informed Consent Form - Read, sign and bring with you

  4. Financial Agreement & Cancellation Policies Form - Read, sign and bring with you



For More Information...

CLICK HERE to learn more about Insurance Coverage, Office Policies, Treatment Experience and Scheduling




Thank you. We look forward to seeing you soon!

Peter Hanfileti, MD &
Lisa Hanfileti, LAc

Learn why we drink, recommend and give our patients (and pets!) Kangen water

Kangen Water