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New Patient Forms at The Family Wellness Center

Save time during your first visit

Man filling out paperworkAt The Family Wellness Center, we offer our paperwork online so you can complete it in the convenience of your own home.

Please take a few moments to complete the forms below. It is your opportunity to inform your therapist about yourself, your needs, and your goals, as well as providing necessary information. Please be accurate and specific.

Counseling Services Intake Form

Nutrition Intake Form

System Survey Form


New Patient Forms at The Family Wellness Center | (717) 558-8500