Optimal Health & Wellness offers our patient form(s) online so you can complete it in the convenience of your own home or office. Here is a brief explanation of what each form is used for.
Patient Information – This form is required.
This form lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Please list any conditions or allergies you have that we need to be aware of.
Vitamin Injection Intake – This form is required for patients coming in for vitamin injections. Please list any medical conditions you are suffering from and health concerns you may have.
Nutrition Assessment – This form helps us understand your medical concerns as well as any nutritional health conditions you are suffering from.
