Online Forms

The Wellness Spot offers our patient form(s) online so they can be completed it 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 form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New ADULT Patient Forms - Required

This lets us know the history and current state of your health; what questions, concerns, goals, regarding wellness we can help you with: Download & Print Health History Form

This document helps you communicate what hurts, where and how:  Download & Print Symptom Locator Form

This document shares basic contact, disclaimer and agreement information:  Download & Print Registration Form 

Your signature on the bottom of the Registration form (above) confirms you have read and understand the below documents:

Download & Print Consent to Treat Form

New PEDIATRIC Patient Forms - Required

This lets us know the history and current state of your child's health; what questions, concerns, goals, regarding wellness we can help your child with: Download & Print Pediatric Health History Form

This document helps your child communicate what hurts, where and how:  Download & Print Symptom Locator

This document shares basic contact, disclaimer and agreement information: Download & Print Pediatric Registration Form

Your signature on the bottom of the Registration form (above) confirms you have read and understand the below documents - (please print and sign the Consent to Treat a Minor Form):

Download & Print Consent to Treat a Minor

Download & Print HIPPA Notice of Privacy Practices Form