Patient Forms

We value your time and want to make your visit to Wellness Family Medicine as efficient as possible. For your convenience, we’ve made our Patient Forms available online. Feel free to view, complete, and submit them ahead of your appointment. This will help us provide you with a smooth, personalized experience from the moment you walk through our doors.

New Patient Registration Form

WFM Complete This Before Your First Visit

To help us better understand your health history and current needs, we encourage you to fill out our New Patient Questionnaire. This valuable information will assist us in providing you the most personalized, effective care right from your first visit.

WFM HIPAA Rules & Consent

Your privacy and the security of your health information are paramount to us at Wellness Family Medicine. To understand our practices and your rights, we invite you to view and complete our HIPAA Rules & Consent form.

Telehealth Consent

Telehealth involves the use of electronic communications to enable health care providers to provide patient care through the means of live two-way audio and/or video.

Terms & Conditions