New Patient Forms

Optimized Wellness Center 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.
  • Submit them via email 24 hrs prior to your first appointment.
Practice Member Application*

*This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Medical Release Form
Privacy of Practices
Practice Member Re-Evaluation
Lab Testing Preparation
Telemedicine Form
Short Intake Form for Therapies
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