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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
Acupuncture - New Patient Health History Form - Required
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
PINECREST WELLNESS CENTER
Monday:
CLOSED
Tuesday:
08:00 am - 06:30 pm
Wednesday:
08:00 am - 05:30 pm
Thursday:
09:00 am - 06:30 pm
Friday:
08:00 am - 06:30 pm
Saturday:
09:00 am - 12:00 pm
Sunday:
CLOSED
Testimonials
Reviews By Our Satisfied Clients
"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.
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Please do not submit any Protected Health Information (PHI).