Patient Forms

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Person receiving acupuncture on back; practitioner inserting needles.

Gardens Wholistic Health Center

At Gardens Wholistic Health Center, we value your time and comfort. To make your first visit as smooth as possible, we offer our patient form(s) online so you can complete them in the comfort of your own home or office. This allows Dr. Bill Rice and our team to review your information in advance, helping us focus on your health and treatment goals during your appointment.

All forms are provided in PDF format and can be downloaded directly to your computer. You may fill them out electronically using Adobe Acrobat Reader®, or print them and complete them by hand.

Instructions for Completing Forms

Step 1: Download the Necessary Forms

Click on the file names below to download the appropriate forms for your visit. Each file opens as a PDF document.

If you are interested in any nutritional work, including weight loss, please also complete the Nutritional Counseling packet. This ensures that Dr. Rice has all the information needed to create a complete, personalized care plan.

Step 2: Fill Out the Forms

You have two convenient options:

1. Complete and Submit Electronically

  • Open the downloaded file using Adobe Acrobat Reader®.
  • Fill in the required fields directly on your computer.
  • When finished, click the “Submit Information” button on the form to email it directly to our office.

2. Complete by Hand

  • Download and print the necessary form(s).
  • Fill in all required information clearly.
  • You may then fax the completed forms to our secure fax line or bring them with you to your appointment.

Fax number: (561) 370-6214

3. Bring or Send Your Forms

If you prefer not to submit forms electronically, you can bring the printed copies with you on the day of your appointment. Please arrive 10–15 minutes early to allow our team to review your information before your consultation.

Required Forms for New Patients

Below is a list of the forms available for download (all files in PDF format):

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New Patient Intake Form

Required for all new patients.

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PIP Forms  (Auto Accident Patients Only)

Required for patients being treated for injuries related to an auto accident.

Why Completing Forms in Advance Matters

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For your convenience and comfort

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Better communication between you and your provider

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More personalized treatment planning

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Shorter wait times in the office

Why Completing Forms in Advance Matter

Completing your paperwork in advance also allows for:

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For your convenience and comfort

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Better communication between you and your provider

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More personalized treatment planning

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Faster start to your first session

Troubleshooting Form Access

If you experience difficulty opening the forms:

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Ensure you have the most recent version of Adobe Acrobat Reader® installed on your computer.

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If you do not have it, you can easily download it for free from the official Adobe website.

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After installation, reopen the form from your downloads folder.

If you continue to have issues, please call our office at (561) 439-6644 and we’ll be happy to assist.

Privacy and Security

All information submitted through our forms is kept strictly confidential in compliance with HIPAA regulations. We take every measure to protect your personal and medical data. Your forms are securely stored and used only by our authorized healthcare staff for treatment planning.

Contact Our Office for Assistance

If you have questions about which forms to complete or how to send them, please contact our office directly. Our staff will guide you through the process and ensure everything is in place before your visit.

We look forward to welcoming you to our clinic and helping you begin your path toward natural healing and optimal wellness.