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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!


Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Paperwork for an Adult

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Paperwork for a Child

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Insurance Company Information

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Medical Authorization – Direction to Pay

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Office Policies

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Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


A Center for Well-Being | (352) 336-2740
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