Complete your patient forms on your device
Choose the fillable PDF to type your answers on your device, or download the printable PDF to complete by hand. Select the paperwork requested by our team and save or print your completed forms. Please bring a printed, completed copy to your appointment at Pivotal Health and Wellness.
General patient intake
Open fillable general intake (PDF, 3 pages) · Download fillable general intake · Download printable general intake (PDF, 3 pages)
Weight Loss/Contour paperwork
Open fillable Weight Loss/Contour paperwork (PDF, 5 pages) · Download fillable Weight Loss/Contour paperwork · Download printable Weight Loss/Contour paperwork (PDF, 5 pages)
How to fill out, save and print
1. Open your form. Use the fillable links above to type your answers, or choose the printable version to fill out by hand. If your browser or phone does not let you type in the fields, download the PDF and open it in a PDF reader that supports fillable forms, such as Adobe Acrobat Reader.
2. Complete the fields. Type your answers and select the appropriate checkboxes. Review each page and complete any required signatures.
3. Save your answers. In the PDF viewer, choose Save, Save As, or Download with changes. Reopen the saved copy to check that your answers are included before closing the form. The download links on this page provide blank forms.
4. Print for your visit. Print your completed form and bring it to your appointment. You can also use Print → Save as PDF to keep a completed copy on your device. Sign any signature lines by hand if needed.
These forms are not submitted online or emailed automatically. Keep your completed copy in a private location on your device. If you need help or are unsure which form to complete, please contact our team.
Schedule a visit or call 561-434-4900 to speak with our team.