COMPREHENSIVE INITIAL INTAKE FORM FOR NEW PATIENTS
Thank you for choosing a Pathways to Wholeness clinic. We look forward to partnering together on a journey to wholeness.
* Important: This form is only for individuals who are not presently a patient at a Pathways to Wholeness clinic. If you are already a patient and need to book an appointment, click here.
Consistent with our firm commitment to practice whole-person, individualized care, we would like to get to know you better. Below is our initial intake form for all new patients. The information you provide will help us understand you as a whole person and adequately address your health concerns.
1. Please complete the form below to the best of your knowledge. Honesty is very important as we are not here to judge but rather to explore the best approach to take in your care.
2. After submitting the form, you will be prompted to book an appointment online here.
Thank you in advance for taking time to complete this form as it is very comprehensive in nature.