Here at Camarillo Holistic Health and Weight Loss, we value our patients. We acknowledge that going to a new place for the first time can be nerve racking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home. We think of our patients as part of our extended family, and we are excited to meet you!

If you have any questions regarding your first visit, please don’t hesitate to call us at (805) 987-1800.

Online Forms

Camarillo Holistic Health and Weight Loss offers our patient forms online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms from the list below that pertain to your visit, print them out and fill in the required information.
  • Bring them with you on your first appointment.

New Patient Intake Form
Completion of this form helps us to understand your health history and the current state of your health. What questions, concerns or goals regarding your health and wellness can we help you with? Let us know — we’re here to help you!­
Download and Print Form

Symptom Survey
This form gives Dr. Aylor more insight into your current symptoms in order to better understand your condition and map the best course of treatment.
Download and Print Form

Weight Loss Client Information
Before starting your customized weight loss plan with the doctor, this form helps us to get a better idea of your past health history and future goals.
Download and Print Form