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Online Forms

Evergreen Wellness Center, Inc 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, print it out and fill in the required information.
  • Email your completed form(s) to everacuwellness@gmail.com or print it and bring it with you to your appointment.


New Patient Intake Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

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