All New Clients:
Welcome to Clear Point Wellness! We look forward to helping you with your health goals. Below are forms for first visit with us.
- Bring your paperwork with you (found below), or upload it to our secure drive before your visit. It should take 45 min. to fill it out.
- We will need your filled-out paperwork before we can begin your first session. If you plan on filling it out at our office, let us know so that we are available to you 45 min. before your session begins.
- Some of our clients are chemically sensitive, in an effort to maintain a healing environment for them, please wait to put on perfume, cologne, essential oils, or scented lotions until after your appointments with us.
Thank you for your assistance – we look forward to seeing you!
Please print and fill out:
>Adult Health History
>CPW Chief Complaint
>CPW HIPAA Right to Share
For children (under 18 years old), fill out this history instead:
>CPW Health History – Minor
Additional forms for New Clients with various conditions:
>CPW Oswestry Low Back Pain Scale
>CPW Oswestry Neck Pain Scale
* This is our full > HIPAA information if you are interested in reading it.