Online Forms

New Patient Health History Form (Required)

Please fill out this form before coming to your first appointment. 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 – English

Download & Print – Español


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

  • If you do not already have AdobeReader® installed on your computer, Download the Free Adobe Reader®
  • 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.