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Online Forms

PINECREST WELLNESS CENTER offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • 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.

These forms let us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Chiropractic - New Patient Health History Form - Required

Download & Print Form

Acupuncture - New Patient Health History Form - Required

Download & Print Form

SHAPE ReclaimedTM - New Patient Forms - Required

Download & Print Form - SHAPE ReclaimedTM Health History Form

Download & Print Form - SHAPE ReclaimedTM Questionnaires


Location

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Office Hours

Our Regular Schedule

Monday:

Closed

Tuesday:

8:00 am - 6:30 pm

Wednesday:

8:00 am - 5:30 pm

Thursday:

9:00 am - 6:30 pm

Friday:

8:00 am - 5:00 pm

Saturday:

9:00 am - 12:00 pm

Sunday:

Closed

Testimonial

Reviews By Our Satisfied Patients

  • "I've been going to see Bill at the wellness center off and on for the past ten years. This past year, I've suffered from upper body pain -- all of which were resolved through acupuncture. Recently, I have had an intense flare up of pain and 90% of my pain vanished after two treatments with Bill. He's very caring and thoughtful and the front desk are pleasant and conscientious."
    - Nahid Y.