---
title: Patient Forms
description: Online forms of all required documentation for new patients, including health history and financial consents. Includes Transfer of Care forms.
---

- [![New Patient Paperwork](https://no-cache.hubspot.com/cta/default/7294827/9a7abab7-68d9-44be-941f-e6d596df1363.png)](https://cta-redirect.hubspot.com/cta/redirect/7294827/9a7abab7-68d9-44be-941f-e6d596df1363)
- [![Contact Us](https://no-cache.hubspot.com/cta/default/7294827/bec54999-db30-4b40-b0a6-9bd4715e536e.png)](https://cta-redirect.hubspot.com/cta/redirect/7294827/bec54999-db30-4b40-b0a6-9bd4715e536e)

[![Renew Total Body Wellness Center](https://www.drrohde.com/hs-fs/hubfs/raw_assets/public/RenewTotalBodyWellnessCenter_June2020/images/logo.png?width=175&height=461&name=logo.png "Renew Total Body Wellness Center")](https://www.drrohde.com/?hsLang=en)

# Patient Forms

- [Renew Total Body Wellness Center](https://www.drrohde.com/renew-total-body-wellness-center?hsLang=en)
- Contents
- Patient Info
- Patient Forms

## Please Use Your Computer to Complete These Registration Forms

### Due to the depth of your health information we capture the forms are not optimizable for completion on a phone or tablet and will interfere with electronic submission. 

### Functional Medicine Evaluation with Dr. Thomas Rohde

Please complete the following patient registration forms if you wish to be seen for a functional medicine evaluation, including thyroid, hormones, regenerative medicine including joint pain, PRP and Regenerative cell therapy, etc. 

This process should take you about 30 minutes.

### No-Scalpel Vasectomy

Please complete the following patient registration forms if you wish to be seen for our No-Scalpel Vasectomy Procedure. 

This process should take you about 15 minutes. 

[![Functional Medicine](https://no-cache.hubspot.com/cta/default/7294827/129e0dec-8fd9-4dd4-b5f6-069712e76ce5.png)](https://cta-redirect.hubspot.com/cta/redirect/7294827/129e0dec-8fd9-4dd4-b5f6-069712e76ce5)

[![No Scalpel Vasectomy](https://no-cache.hubspot.com/cta/default/7294827/4224c628-f290-4857-a2d7-e51dd037368b.png)](https://cta-redirect.hubspot.com/cta/redirect/7294827/4224c628-f290-4857-a2d7-e51dd037368b)

---

If you prefer paper and pen, you can download our new patient packet using the link below. Completed forms should be returned to our office as soon as possible. 

[Download New Patient Forms](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/pdf/173029.pdf?hsLang=en)  
For patients transferring care OUT to another doctor, please print the form below and return the completed document to our office.  
[Download Transfer of Care Form](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/pdf/123324.pdf?hsLang=en)

 

##### What we offer

#### Services

![Bioidentical Hormone Therapy](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/images/2099373.png) 

[Bioidentical Hormone Therapy more info](https://www.drrohde.com/services/bioidentical-hormone-therapy?hsLang=en)

![PRP Therapy](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/images/2099375.jpg) 

[PRP Therapy more info](https://www.drrohde.com/services/prp-therapy?hsLang=en)

![Gut Health](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/images/2099376.jpg) 

[Gut Health more info](https://www.drrohde.com/services/gut-health?hsLang=en)

![IV Therapy](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/images/2099377.jpg) 

[IV Therapy more info](https://www.drrohde.com/services/iv-therapy?hsLang=en)

![Regenerative Medicine](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/images/2099378.jpg) 

[Regenerative Medicine more info](https://www.drrohde.com/services/regenerative-medicine?hsLang=en)

![No Scalpel Vasectomy](https://www.drrohde.com/hubfs/RenewTotalBodyWellnessCenter_June2020/images/2131085.jpg) 

[No Scalpel Vasectomy more info](https://www.drrohde.com/services/no-scalpel-vasectomy?hsLang=en)

###### LOCATION

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

###### OFFICE HOURS

- Monday 8:00 - 12:00, 1:00 - 5:00
- Tuesday 8:00 - 12:00, 1:00 - 5:00
- Wednesday 8:00 - 12:00, 1:00 - 5:00 
- Thursday 8:00 - 12:00, 1:00 - 5:00
- Friday Closed
- Saturday Closed
- Sunday Closed

###### GET IN TOUCH

[217-864-2700](tel:2178642700)

© Copyright 2020

- [Terms & Conditions](https://www.drrohde.com/our-terms)

**Renew Total Body Wellness Center**

3798 E. Fulton Avenue, Decatur, IL 62521

217-864-2700

 

<https://www.carecredit.com/go/938HRF/>

- 4.88/5
- (24 reviews)