Forms

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Please download and complete these registration forms before your first appointment at Canon Professional Wellness Clinic. This packet includes essential information about your contact details, medical history, insurance coverage, and consent for treatment. Bringing completed forms to your appointment saves time and allows us to focus on your healthcare needs. Remember to bring your photo ID and insurance card as well.

Patients ages 18-64 - Please complete these health questionnaires prior to your annual appointment. These forms help our providers understand your physical and mental wellbeing by assessing mood, anxiety levels, lifestyle factors, and health behaviors. Your responses enable us to provide personalized care tailored to your specific needs. The information you provide is confidential and becomes part of your medical record at Cañon Professional Wellness Clinic.

Patients 65 and over - These comprehensive health questionnaires help us provide personalized care by assessing your physical and mental wellbeing. The forms include depression and anxiety screenings (PHQ-9 and GAD-7), daily living activities assessment, fall risk evaluation, and lifestyle factors. Complete these before your appointment to help us identify health concerns and create an effective treatment plan. Please bring the completed forms to your visit with Canon Professional Wellness Clinic.

We are always seeking talented, passionate, hardworking individuals to become an integral part of our growing success. If you’re interested in making a positive impact on our customers and our company, then we’d love to hear from you!