Attendance Policy
Clinic & Class Attendance Policy. To be signed and turned in.

Beverages
All of our beverage flavors, including chocolate, mocha, strawberry, vanilla, and more!

BMI Table
Body Mass Index chart based on height and weight.

Client Commitment Form
Commit to the services of Physician’s Choice Wellness. Please read, sign and date.

Encounter Form

Initial Screening Questionnaire
Our program screening questionnaire. Please circle Yes or No.

Insurance Letter
Included in this letter is the information you will need to provide for your insurance representative.

Invoice

Patient Consent Disclosure
Patient consent for use and disclosure of protected health information.

Treatment Consent Form
Authorization for examination and treatment. Please sign and date.