Welcome to the New Patient Center!
We understand that arriving at a doctor's office for the first time can be nerve wracking. Filling out paperwork, learning new faces and names, and getting to know your way around the office can be an overwhelming experience.
That's why at Santa Barbara Wellness for Life our aim is to remove any stressor causing unnecessary tension and to make you feel comfortable. In this area of the website you will be able to take care of items necessary for your visit prior to arriving, in the comfort of your own home.
New Patient Intake Forms
- 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 or email us your completed form(s) or drop them by the office a minimum 2 days prior to your appointment.
These forms are designed to help us get to the cause of your current health problems as quickly as possible. The more detailed and accurate you are, the better care we can provide. Your overall health is just as important to us as your current major complaints. No symptom is insignificant. The more you share with us, the more we will be able to help you achieve your health goals.
Personal History (Required all patients)
Symptom Survey (Dr. Dale & Dr. Mark)
Metabolic Assessment Form (Dr. Niko)
Cognition Questionnaire (Bredesen Protocol patients only)