Patient Forms

Patient Forms

Please click the titles below to access and download the forms you will need for your appointment at Inner Health and Wellness Center.

Please make sure that you bring these forms with you to ensure a prompt and efficient appointment. Please ensure that you download ALL of the following forms:

  1. Patient intake form
  2. HIPPA Form
  3. Informed Consent Form
  4. Patient Financial Responsibility Form

If you have any problems please call our office and we will be happy to assist you.

Thank you.

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