HOCATT New Patient Form

HOCATT New Patient Form

Step 1 of 2

Name(Required)
MM slash DD slash YYYY
Address(Required)

Contraindications

There are certain circumstances during which certain modalities of the HOCATT should not be used.

Please indicate with a check mark if any of the following conditions apply to you.

Steam/FIR Sauna(Required)
CO2/Carbonic Acid(Required)
Transdermal Ozone/Insufflation(Required)
Frequency Specific Microcurrents(Required)
Have you consumed at least half your body weight (pounds) of water (in ounces) today prior to your session? e.g. if you weigh 150 pounds, drink at least 75 ounces of water.(Required)