CHWB New Patient Forms
For your convenience, the following CHWB new patient forms may be printed. Please print out and complete each form that is applicable to the type of appointment you have scheduled and bring them to your appointment. New patients should arrive at least 15 minutes before their scheduled appointment time.
Medical Doctor or Nurse
If your appointment is with a Medical Doctor or Nurse, please print and complete the required form below:
- Medical Doctor or Nurse – Patient Intake Form (PDF)
- Medical Records Release Form (PDF)
- Medical IV Intake Form (PDF)
- IV Therapy Consent Form (PDF)
What to Expect and Privacy
Learn more about what to expect as our patient by reading the patient information sheet, available for download below:
• What You Can Expect (PDF)
We care about your privacy. Learn more from The Center for Health and Wellbeing’s practice privacy notice, available for download below:
• Practice Privacy Notice (PDF)