Brochures:    
  Wellness Center Brochure  
     
New Patient Forms:  

Medical History Form

 

Patient Information

 
  Health History Form  
     
 

DetoxQuest

 
     
  Patient Billing Acknowledgment  
 
Assesment Forms:  
Female HRT Assessment Form

 
Male HRT Assessment Form

 
Post Therapy Instructions

 
     
Office Fee Schedule and
Payment Plan:
   
  Fee Schedule for 2008  
     
 

 
 

To read these forms, you need to have the free Adobe Acrobat Reader software installed on your PC or Mac.

 

 

 
 


 
 

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The Integrative Wellness Center of Irvine
4 Hughes, #150
Irvine, CA 92618
Phone: 949-768-6780 Fax:949-768-6782

©theintergrativewellnesscenter2006

holistic health care, anti-aging solutions, alternative complimentary medical care, detoxification, acupuncture, nutritional diet counseling, holistic weight management, stress reduction, bio-identical hormone replacement therapy, hot flashes, night sweats, integrative medicine,