Pure Wellness Centers
New Patient Intake
Please download the PDF forms below, print and fill out the Intake and Questionnaire, and bring them to your first appointment. It can take one to two hours to complete these forms. Please give them your full attention as your answers are an important part of measuring your health status and finding solutions. You will get out of these questions what you put into them. They will seem reduncant, but they relate to different processes and systems in your body. Thank you for your help.
Registration and Health History
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