Reimer Wellness Center Wellness Center offers our patient form(s) online so they can be completed 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 required form(s) or bring it with you to your appointment.
New Patient Health History 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!
Children's Health Record- Required for any patient 18 years or younger
Initial Consultation Form - Required
Personal Injury Questionnaire - Required
Lifestyle Questionnaire - Required
Exercise Prescription Form - Optional
Update Your Health History
Upper Extremity Form
Back Index Form
Neck index Form
Lower Extremity Form