Online Forms

Peak Balance Family Wellness offers our patient forms online so they can be completed in the convenience of your own home or office. No need to print! Forms will automatically be downloaded to our system. 

New Patient Intake Form - Required

This lets us know the history and current state of your health. This intake is for Adult patients and Children over the age of six. What questions, concerns,  and goals regarding wellness can we help you with? Let us know!

Click Here to Submit Form Online

Pediatric Intake Form - In Office

Currently our pediatric Intake is only available in the office. Please arrive a few minutes early to fill out these forms. Thank you. 

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Location

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Receptionist Hours

Monday:

9:00am

6:00pm

Tuesday:

Closed

Wednesday:

9:00am

6:00pm

Thursday:

Closed

Friday:

9:00am

6:00pm

Saturday:

1st & 3rd Sat

of the month

Sunday:

Closed

Closed