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Online Forms

Family Health & Wellness Clinic offers our patient form(s) online so they can be completed 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



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Location

Office Hours

*Every other Saturday

Monday:

10:00 am-6:00 pm

Tuesday:

2:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

Closed

Closed

Saturday:

9:00 am-1:00 pm

Sunday:

Closed

Closed

Testimonial

  • "I started having severe neck pain and stiffness, and tingling in the fingers in the right hand. after seeing Dr. Gallo for about two months I noticed great relief. I had tried chiropractic before and am a firm believer in it but my pain wasn't going away as quickly as Dr Gallo was able to!"
    Gayle M.