Become A Patient

New Patient Forms

If you are coming to our clinic for the first time, you can download and complete our forms at home to save time at your first visit.

If you’d rather fill them out when you get to our office, please arrive 20 minutes early, and bring a complete list of your medications (with the condition for which they are prescribed, the dosage and frequency) and nutritional supplements.

We look forward to serving you!

New Patient Intake Form

Patient Privacy

As a patient of Global Wellness you will have certain privacy expectations. Global Wellness is fully compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules for health care providers. The confidentiality of your patient records is of paramount concern to us.

You can read about how we comply with HIPAA rules here.  You can read our privacy policy here. You can download a copy of our privacy policy by clicking the link below. We will give you a copy, if you’d like, on your first visit, and will ask you to sign a form indicating that you understand this policy.

HIPAA Notice of Privacy Practice

Your Rights and Responsibilities

In addition, you have certain rights and responsibilities as a patient in our clinics. You have the right to expect excellent clinical care and to have all of your treatment explained to you and every question answered to your satisfaction. Want to know more? Review detailed information in the document below or call us if you have more questions.

Patient Rights and Responsibilities

Office Hours

Monday - Saturday:

Appointments Available



Our Location

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