New Patient Paperwork

Santa Cruz Holistic Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

  • Confidential Patient Information Form

    Click to Download

  • Confidential Patient Records Form

    Click to Download

  • Informed Consent Form

    Click to Download

OFFICE HOURS

Monday
10:00am - 6:00pm

Tuesday
10:00am - 3:00pm

Wednesday
10:00am - 6:00pm

Thursday
10:00am - 6:00pm

Friday
10:00am - 3:00pm

Saturday & Sunday
Closed

Santa Cruz Holistic Wellness

5437 Scotts Valley Dr
Scotts Valley, CA 95066

(831) 438-5400
Care Credit