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Online Forms

Bel-Ray Wellness Center offers our patient form(s) online so they can be completed 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.
  • Dowload, print, fill out, and either fax or bring to appointment (General Intake, Auto Accident, Pediatric and Adolescent form)

New Patient Health History Form - Required

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

Download & Print Adult New Patient Forms

Download & Print Child (0-12) New Patient Forms

Download & Print Automobile Accident Form

Download & Print Notice of Privacy Practices

Download & Print Massage Intake Form

Download & Print Yoga Intake Form



Download the Free AdobeReader®

Office Hours

Bel-Ray Wellness Center

Monday:

8:00 am-12:30 pm

1:30 pm-6:00 pm

Tuesday:

8:00 am-12:30 pm

1:30 pm-6:00 pm

Wednesday:

8:00 am-12:30 pm

1:30 pm-6:00 pm

Thursday:

8:00 am-12:30 pm

1:30 pm-6:00 pm

Friday:

8:00 am-12:30 pm

1:30 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

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