Evergreen Wellness Center, Inc offers our patient form(s) 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 form, print it out and fill in the required information.
- Email your completed form(s) to firstname.lastname@example.org or print it and bring it with you to your appointment.
New Patient Intake Form - Required
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!