Forms – WellTouch Wellness Clinic

Registration

HIPPA Privacy Notice

Medical History

Consent to Treat

Financial Responsibility agreement

HIV Testing Consent

Release of Information

Consent for Telehealth

Health Insurance Form

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Office hours

Monday 8:30 AM - 4:00 PM

Tuesday 8:30 AM - 4:00 PM

Wednesday 8:30 AM - 4:00 PM

Thursday 8:30 AM - 4:00 PM

Friday 9:00 AM - 1:00 PM

Saturday By appointment only

Sunday Closed

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