2552 Walnut Avenue, Suite 145, Tustin, CA  92780

714-730-5833 Phone   714-730-5083 Fax

Improve Your Health & Change Your Life Today! 

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Online Forms

WellnessStop offers our patient forms online so they can be completed it in the convenience of your own home.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print it out and fill in the required information.
  • Return your intake forms to us no later than 2 days prior to your scheduled appointment via:
    • Fax: 714-730-5083
    • Email: frontoffice@wellnessstop.com
    • Mail: 2552 Walnut Avenue, Suite 145 Tustin, CA 92780
    • Drop them off  to our office: Business Hours are Monday- Thursday 8:30am- 12:00pm & 3pm-6pm

Chiropractic Only New Patient Health History Form -

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!



Chronic Condition New Patient Health History Form -

This lets us know the history and current state of your chronic condition, whether it be Fibromyalgia, Thyroid disorders chronic knee pain, frozen shoulder , peripheral neuropathy, etc… We get a little more information to be able to see the whole picture of what is causing your condition. 

We are so delighted that you have chosen our office to help you through this amazing journey to get better.  Since you are new to our office we will need some paperwork from you first.  In order to make it as easy as possible for you we have put the paperwork here on our website so you can download it and fill it out at home.  Please note:  All paperwork, including all recent lab work, a list of medications and/or supplements you are taking, must be returned to our offices two days prior to your first appointment.  Please take note on the day of your appointment we need you in our office 10 minutes before your appointment and that you must wear or bring  a t-shirt and shorts (or loose capri pants).

New Patients