ALL new patients are required to complete the form
Back 2 Health Family Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
We understand that arriving at a doctors office for the first time can be nerve racking. Filling out paperwork, learning new faces and names, and getting to know your way around the office can be an overwhelming experience.
That’s why at Back 2 Health Family Wellness Center our aim is to remove any stressor causing unnessesary tension and to make you feel comfortable. In this area of the website you will be able to take care of items necessary for your visit prior to arriving, in the comfort of your own home.
Please complete this additional form if/only if your visit to our office is because you were involved in an automobile accident
- Your driver’s license or other form of personal ID
- A copy of your health insurance card
- If involved in a recent motor vehicle accident or work injury, please bring a copy of all your claim information including the insurance company contact and claim adjuster information
- Copies of exams or test relative to your visit including, but not limited to, recent Xrays or MRI images.