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M.P.

"I first came to West University Wellness because of the constant pain in my back and feet. I was taking muscle relaxers and pain pills almost everyday. I had difficulty walking. Because of the treatments I have received here the pain has subsided and I rarely take muscle relaxers or pain pills.

The staff and Dr. Yeager are always friendly. They are willing to answer all of my questions. I am doing a lot better and would like to thank Dr. Yeager and his staff. THANK YOU!!! "

M.P.

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New Patient Forms

 

 

To ensure that your initial visit runs smoothly and maximize your time with the doctor, we strongly encourage you to print out your new patient paperwork and fill it in prior to arriving for your visit. If you cannot do so, then please come in 20 minutes before your appointment to fill in the required forms. Thank you for your cooperation.

 

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Initial Intake Questionnaire

 

Health Care (HIPAA) Information Form

 

Informed Consent Form

 

Authorization of Assignment Form

 

Authorization for Medical Release Form 

 

Cancellation Policy

 

Protected Health Information Form

 

If you would like to fill these out before your visit and are unable to view the link, please call us at (713) 490-2225 so we can fax you the information.

 

If for some reason you need to cancel or reschedule your new patient appointment, we respectfully ask that you call our office at least 24 hours in advance of your scheduled appointment time. By letting us know as soon as possible that you will not be able to keep your new patient visit, we may be able to give that time to another patient who is waiting to be seen by one of our doctors.

 

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