Online Forms

There are two options to fill out our initial paperwork:

Option #1

New Patient Digital Intake Form

Click the link below to submit the initial paperwork that will be directly downloaded to our office.

Fill Out Form

Option #2

InSight Health & Wellness offers our patient form(s) online so they can be completed 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.

New Patient Intake Form

This form is required for all patients visiting our practice for the first time.

Download & Print Form

Automobile Accident Questionnaire

This form is to be completed by patients visiting us who are receiving treatment for injuries sustained from an automobile accident.

Download & Print Form

True Cellular Detox™ Neurotoxic Questionnaire

Complete this form if you are participating in the True Cellular Detox™program.

Download & Print Form

Functional Medicine Application

Complete this form if you plan to receive treatment using our Functional Medicine services.

Download & Print Form

---

Download the Free Adobe Reader®