New Patient Forms


 


  1. New patients please download and complete the forms below and return them to the office.

    Download New Patient Forms

  2. Consult/Hormone patients please also download and complete this extra history form

    Download Hormone Hx Form

  3. Patients Transfering care OUT to another doctor – Please print and complete this form and return it to us.

    Download Transfer of Care Form

Location
Renew Total Body Wellness Center
3798 E. Fulton Avenue
Decatur, IL 62521
Phone: 217-864-2700
Fax: 217-422-0004
Office Hours

Get in touch

217-864-2700