Designed Clinical Health Forms New Patient Orientation Learn more about our Designed Clinical Nutrition program and its benefits. Patient Info Form Describe your current medical status and reason for coming to Aura. Permission and Authorization Form Authorizes our natural health practitioners to perform a health analysis. Scar Summary Sheet Mark locations of body scarring, including episiotomy, piercings, tattoos, etc. Stress Assess Form Assessment for creating a personalized program to support your stress response. Systems Survey Form Detailed list of symptoms that may apply to you. Toxicity Questionnaire Designed to identify your potential need for a purification program. ChiroThin Forms ChiroThin New Patient Form For new patients looking to partake in the ChiroThin Weight Loss Program. The 'Lose 20 Pounds' Promise Drop at least 20 pounds with ChiroThin or receive one additional program at no cost.