Patient Information & Forms

Click the links below to download PDF's of the appropriate forms.

Adult Intake Form

Pediatric Intake Form (Birth to 5 Years)

Pediatric Intake Form (6 to 12 Years)

Release of Records Form

Clinic Information

HIPPA Notice of Privacy Practices

Sustainability at Sweetgrass Natural Medicine
At Sweetgrass Natural Medicine we are concerned with your health and the health of the planet.
We seek sustainability in these ways:

All paints and cleaning products used are non-toxic and biodegradable.
All paper products are recycled and post-consumer waste.

A percentage of all products purchased for the Sweetgrass Natural Medicine office goes to progressive organizations focused on social and environmental wellness.

All products and supplements sold are of the highest quality and in glass bottles and organic when possible.

And…Sweetgrass Natural Medicine is open to suggestions on how to green the clinic!

Recycling Your Glass Supplement Bottles
Dr. Johnston will take back glass bottles bought from Sweetgrass Natural Medicine and recycle them. Please bring them in at the time of visit or stop by when someone is in the office.

Discounts at Sweetgrass Natural Medicine
Full time MSU students receive a 10% discount on office visits. Patients over 70 years young receive a 10% discount on office visits.