New Patient Forms:  
Medical History Form


Patient Information

Assesment Forms:  
Female HRT Assessment Form

Male HRT Assessment Form

Post Therapy Instructions

  Nutritional Journal


To read these forms, you need to have the free Adobe Acrobat Reader software installed on your PC or Mac.





Home | About Us | Our Clinicians | Wellness Services | Classes & Groups
Patient Comments | Articles & Humor | Forms | Location | Contact Us

The Integrative Wellness Center of Irvine
4 Hughes, #150
Irvine, CA 92618
Phone: 949-768-6780 Fax:949-768-6782


holistic health care, anti-aging solutions, alternative complimentary medical care, detoxification, acupuncture, nutritional diet counseling, holistic weight management, stress reduction, bio-identical hormone replacement therapy, hot flashes, night sweats, integrative medicine,