New Patient Forms

Below is a link to view our New Patient Form and our Personal Injury Patient Form. Please fill out this form, to the best of your ability, prior to arrival for your first appointment to ensure the shortest possible wait before you can be seen. To print out the form, please follow these steps:

  • Click on the image of the form below
  • You should be prompted to either open or save the file, or it will open automatically in a new browser window
  • Choose “Open” and click “Ok” if the file didn’t open automatically
  • Once the file is open, print and fill out the form
  • You can bring the form to your appointment, or you can mail it to us at:Wellness Institute of Nevada
    2557 Wigwam Parkway
    Henderson, NV 89074

New Patient Form (PDF)


Personal Injury Form (PDF)

personal injury
*Additional paperwork will need to be filled out in person at WIN’s office.