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)

Naturopathic Doctor

If your appointment is a Naturopathic Doctor, please print and complete the required form below:
• Naturopathic Doctor – Patient Intake Form (PDF)

Chiropractor

If your appointment is with a Chiropractor, please print and complete the required form below:
• Chiropractic Appointment – Patient Intake Form (PDF)

Massage Therapist

If your appointment is a Massage Therapist, please print and complete the required form below:
• Massage Therapy – Patient Intake Form (PDF)

Acupuncture

If your appointment is for acupuncture, please print and complete the required form below:
• Acupuncture – Patient Intake 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)