Health Switch - The Center for Wellness

We offer our New Patient Intake Forms online so you can complete them in the convenience of your own home. Please fax or email them FULLY completed. Please read the instructions thoroughly. Email forms to This e-mail address is being protected from spambots. You need JavaScript enabled to view it or fax them to 732-676-7777.

New Patient Intake Forms Package

Download these forms for all injuries except for motor vehicle and fall down accidents.  We are very thorough so please fill out all forms to the best of your knowledge.  If you have any questions, email us your questions or call us at (732) 383-5410 and we will be happy to answer all of your questions.

Motor Vehicle Accident / Fall Down New Patient Intake Forms Package

If your health issue is the result of a motor vehicle accident or you have a lawsuit due to a fall down injury, then please click on the forms below. We are very thorough so please fill out all forms to the best of your knowledge.  If you have any questions, email us your questions or call us at (732) 383-5410 and we will be happy to answer all of your questions.

IMPORTANT! You will not be seen unless you have these forms with you at the time of visit. Thank you for understanding.

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Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click here to download for free.

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