NEW CLIENT PAPERWORK

After making an appointment by calling us at (269) 926-6199:

Please download and fill out these forms, then "Save As" a new file, and:

You can

-Print them out and bring them to your appointment

-Mail them to our office

-Submit them below

-Email them to: info@centeredonwellness.info

-Fax them to 269.926.6780

If you need a release of information form or a fee adjustment form (for people paying out of pocket), please contact our office at the email above or at (269) 926-6199.