Online Forms

Rejuvenate Wellness Center offers our patient forms online, so you can be complete them at your convenience.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print them out, and fill in the required information.
  • Fax us your printed and completed forms or bring them to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, and goals regarding wellness can we help you with? Let us know!

Download & Print Forms


Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday

8am - 1pm

3pm - 5pm

Tuesday

8am – 1pm

3pm – 7pm

Wednesday

Closed

Closed

Thursday

8am – 1pm

3pm – 7pm

Friday

8am – 2pm

Closed

Saturday

Closed

Closed

Sunday

Closed

Closed

Monday
8am - 1pm 3pm - 5pm
Tuesday
8am – 1pm 3pm – 7pm
Wednesday
Closed Closed
Thursday
8am – 1pm 3pm – 7pm
Friday
8am – 2pm Closed
Saturday
Closed Closed
Sunday
Closed Closed