WellSource Naturopathic Medical Center
Enlivening Your Body, Mind, and Spirit 
First Visit
On your first visit, Dr. Wendy Wells will spend 1.5 hours with you in order to fully understand your medical history and present health concerns.  This is your uninterrupted time to share your experience.  My goal is to gather all the information, uncover the root cause and begin to develop appropriate treatment plan.  The intake will include physical exam when appropriate.  Some additional testing may be necessary before treatment can begin. 

Download Adult Intake Form

Download Pediatric (0 to 5yrs) Intake Form

Download Pediatric (6 to 12yrs) Intake Form



If needed I will have you fill out the following

Download 
Environmental Exposure Questionnaire

Download Diet Diary

Thank you!
I look forward to meeting you soon.