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New Patient Paperwork

Whole Body Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReaderĀ® to view them.
  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Are You Ready For The Results You Deserve?

Chiropractic Riverside CA Whole Body Wellness Logo

Whole Body Wellness
6391 Magnolia Ave Suite C
Riverside, CA 92506
(951) 683-9807

OFFICE HOURS
Monday 9:00 am - 6:00pm
Tuesday 9:00 am - 6:00pm
Wednesday 9:00 am - 6:00pm
Thursday 9:00 am - 6:00pm
Friday 9:00 am - 5:00pm
Saturday Closed
Sunday Closed

*Although results may vary, those who follow the program have an extremely high success rate. Whole Body Wellness guarantees at least 20 pounds of weight loss by the end of your entire program. If you kept all of your appointments and followed the system as detailed in your manual but did not lose at least 20 pounds, you will have your program extended until the total weight loss reaches 20 pounds, with all associated costs paid by Whole Body Wellness.