New Patient Forms


If you are a new patient to Illuminare Wellness, or a returning patient whom we have not seen in more than 1 year, please fill out the Comprehensive Health Profile below.  Also, read both the HIPAA and Consent to Care forms as your signature will be required,  agreeing to those terms, within the Comprehensive Health Profile.

I highly recommend you watch this short 15 minute video about the care I provide so that you may ask me about any questions that you may have. Click the icon below to watch the video.

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1. Comprehensive Health Profile

2. HIPPA Privacy Act

3. Consent to Care