Optimal Health & Wellness Center, Ltd. offers our patient form(s) online so you can complete it 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(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.
Chiropractic Patients:
New Patient Forms (Adults)
Download and Print Forms
New Patient Forms (Children)
Download and Print Forms
Child Nutrition Form
Download and Print Form
Ideal Protein Patients
Ideal Protein Health Profile Form
Download & Print Form
Purification/Detox Forms:
New Patient Forms (Adults)
Download and Print Forms
Toxicity & Purification Forms (Goalsetting)
Download & Print Form
Toxicity & Purification Forms (Mid-point Cleanse)
Download & Print Form
Toxicity & Purification Forms (Toxicity Questionnaire)
Download & Print Form
Nutritional Consult Forms:
Adult Intake Form
Download and Print Forms
Food Diary Form
Download and Print Forms
Metabolic Assessment Form
Download and Print Forms
Nutritional Consultation Form
Download and Print
Forms