New Patient Paperwork and Forms

Please click the link below to fill out and submit your intake paperwork. 

You will be directed to Intake Q to fill out the paperwork.

Once we receive your completed paperwork we will call you to schedule an appointment with you!

Elemental Health and Wellness Center LLC
4425 Juan Tabo Blvd. Suite 112
Albuquerque, NM  87111
Telephone: 1-505-503-6800