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!