Forms


Filling Out Forms

Once you have scheduled your Primary Wellness Consultation at Optimum Health, you will be given the password needed to download the all five of the “Primary Wellness Consultation Forms” listed below.  You may download them here, fill them out and bring them with you to your appointment.  Or, if you prefer, you may arrive 15 minutes early for your appointment and fill out the forms at our center.

Primary Wellness Consultation Forms

There are five forms that must be filled out and presented at your initial consultation  appointment.  These forms are the:

  • Health Profile & Treatment Form
  • Medicine & Supplement/Vitamin Form
  • Private Records Form
  • Picture Use Form
  • Client Information Sheet

To download all five forms at once, click the link below.

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If you would like to schedule an appointment, call our center.
We will be happy to assist you.

HEALTH ISSUES? 804-677-6061

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Miscellaneous Forms

 

Healthcare Center Location

Donate to Our Clients Needing Help

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Let our highly trained professonals guide you through this process. Call 804-677-6061Schedule an appointment for a consultation and ion foot detox to get started on your path to Optimum Health.
CNHPMember:
Certified
Natural Health
Professionals

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