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We’re so excited for you to begin your journey of healing.

Requested dates are not guaranteed. We’ll follow up with a phone call to confirm times for your consultation and treatment.

Please do not submit any Protected Health Information (PHI).




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Evergreen Wellness Center, Inc. offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • Download the necessary form, print it out and fill in the required information.
  • Email your completed form(s) to or print it and bring it with you to your appointment.


Click For Intake Form


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!