New Patient Paperwork

Nutritional & Wellness Complex offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printerNew Patient Paperwork - Click Here to Download

 

OFFICE HOURS
Monday8:00am - 7:00pm
Tuesday8:00am - 7:00pm
Wednesday8:00am - 7:00pm
Thursday8:00am - 7:00pm
Friday8:00am - 1:00pm
SaturdayEmergencies Only
SundayEmergencies Only
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Nutritional & Wellness Complex
40 Professional Court
Lafayette, IN 47905
(765) 447-2222

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