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Online Forms

Optimal Health & Wellness Center, Ltd. 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.


Chiropractic Patients:

New Patient Forms (Adults)
Download and Print Forms

New Patient Forms (Children)
Download and Print Forms

Child Nutrition Form
Download and Print Form 


Ideal Protein Patients

Ideal Protein Health Profile Form
Download & Print Form


Purification/Detox Forms:

New Patient Forms (Adults)
Download and Print Forms

Toxicity & Purification Forms (Goalsetting)
Download & Print Form

Toxicity & Purification Forms (Mid-point Cleanse)
Download & Print Form

Toxicity & Purification Forms (Toxicity Questionnaire)
Download & Print Form


Nutritional Consult Forms:

Adult Intake Form
Download and Print Forms

Food Diary Form
Download and Print Forms

Metabolic Assessment Form
Download and Print Forms

Nutritional Consultation Form
Download and Print Forms


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Locations

Find us on the map

Office Hours

Our Regular Schedule

Monday:

9:00 am-12:30 pm

2:30 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-12:30 pm

2:30 pm-6:00 pm

Thursday:

9:00 am-12:30 pm

2:30 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Thank you so much for helping my son we really learned a lot about health and how sophisticated the human body really is."
    Stephanie
  • "The Ideal program is easy to follow and has helped me burn fat and positively impacted my BMI and overall health. I recommend Ideal to my friends who struggle with obesity, blood sugar, blood pressure or cholesterol problems and have enjoyed seeing their results"
    Joyce J.
  • "Thanks to your team, the product, and the results. Tomorrow night I am going to a singles dining out get together for an event titled "Calling all the Sexy Diners". I am going because I am. Thank you for getting me to the point where I can say that."
    Greg M.