Printable Online Forms

Pure Wellness 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 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!

New Patient Intake

Auto Accident Questionnaire – For those patients who were involved in an auto accident, please print and complete this form prior to your first appointment in the office.


Massage First Visit Intake Form(Required) 

Massage New Patient Form

Massage Therapy Cancellation Policy

Please fill out this form for your first massage visit to our office.  This will allow our therapist to begin your first massage in our office promptly upon your arrival.
Download the Free AdobeReader®