online forms

East Bank Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.​​​​​​​
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax us your printed and completed form(s) or bring it with you to your appointment.

  • 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!

  • OPEN
rats3898 none 8:30 AM — 12:30 PM 2:30 PM — 6:00 PM 8:30 AM — 12:30 PM 2:30 PM — 6:00 PM 8:30 AM — 12:30 PM 2:30 PM — 6:00 PM 8:30 AM — 12:30 PM 2:30 PM — 6:00 PM Closed 8:30 AM — 12:30 PM Closed chiropractor # # #