Pivotal Wellness offers our patient form(s) online so you can complete 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 let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Pivotal Wellness Intake Form

If you are coming to Pivotal Wellness for care after an accident involving a motor vehicle please fill out and bring with you the following form along with the claim number and contract information of your representative at this insurance company:

Auto Accident Form

If you are coming to Pivotal Wellness with your child for a sports physical please fill out this form prior to coming it.

Sports Physicals

If the doctors have recommended use of the foam roller for exercises here is a sheet with the exercises:

Foam Roller Exercises

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