New Patient Forms

Sep 4, 2022

Welcome to Pharmhouse Wellness, your trusted destination for alternative and natural medicine. As a leading clinic in the field of holistic healthcare, we prioritize your well-being and aim to provide comprehensive, personalized treatments that address the root causes of your health concerns. Before your first visit, we kindly ask you to complete our new patient forms to ensure a smooth and efficient experience.

Why Fill Out New Patient Forms?

At Pharmhouse Wellness, we believe in a patient-centered approach to healthcare. By filling out our new patient forms, you enable our experienced healthcare professionals to gain a deeper understanding of your medical history, current health conditions, and any specific concerns you may have. This information is vital for our team to develop a tailored treatment plan that addresses your unique needs.

What to Expect from the New Patient Forms

Our new patient forms are designed to gather essential information about your health and medical background. By providing accurate and detailed information, you allow our healthcare providers to make informed decisions about your care. The forms typically include sections covering:

1. Personal Information

  • Your name, address, and contact details
  • Date of birth and gender
  • Emergency contact information

2. Medical History

  • A comprehensive overview of your medical conditions
  • Past surgeries, hospitalizations, or major medical events
  • Allergies or sensitivities

3. Current Medications and Supplements

  • List of prescribed medications
  • Over-the-counter medications and supplements you currently take
  • Herbal remedies or traditional treatments

4. Insurance and Payment Information

  • Primary and secondary insurance details, if applicable
  • Billing preferences and payment options

5. Health Concerns and Goals

Detail any specific health concerns or goals you would like us to address during your visit. This information helps our healthcare providers focus on areas of importance to you.

Once you have completed the required forms, you can either submit them online through our secure portal or bring them with you to your first appointment. Please arrive 15 minutes early to allow our staff to process the information and prepare for your consultation.

Privacy and Confidentiality

At Pharmhouse Wellness, your privacy and confidentiality are of utmost importance to us. We adhere to strict privacy policies and take every measure to protect your personal and medical information. Rest assured that your data will be handled with the highest level of professionalism and stored securely in compliance with legal requirements.

Contact Us

If you have any questions or concerns regarding our new patient forms, please don't hesitate to reach out to our friendly staff. We are more than happy to assist you in any way we can. Join our community at Pharmhouse Wellness and embark on a journey towards optimized health and well-being.

Remember, your health matters. Complete the new patient forms today and take your first step towards a healthier future.