Integrative Wellness Center
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Integrative Wellness Center​

New Patient Forms:

Please complete the patient information, informed consent and appropriate history form and bring with you to your initial visit.  Thank you!
patient_information.pdf
File Size: 153 kb
File Type: pdf
Download File

informed_consent.pdf
File Size: 152 kb
File Type: pdf
Download File

female_health_history.pdf
File Size: 54 kb
File Type: pdf
Download File

male_health_history.pdf
File Size: 50 kb
File Type: pdf
Download File

pediatric_health_history.pdf
File Size: 54 kb
File Type: pdf
Download File

Integrative Wellness Center

525 Glen Creek Rd NW, Suite 230
Salem, OR 97304
503.339.7376
Fax 503.716.4682
Email: info@integrativewc.org
  • Home
  • Clinic
    • Forms
  • About Us
  • Appointments
  • Purchase supplements
  • Patient Portal
  • Insurance
  • Contact Us