Functional Medicine Paperwork
Please set aside some time to complete the new patient packet below. Please note: It may take an hour or so to complete the required paperwork. This information will provide the doctor with a better picture of your past and current health and will greatly increase the efficiency of your visit. If you do not have access to a printer, please call the clinic and we will be happy to send you a copy in the mail. Be sure to complete steps 1 and 2 before your first visit.
1. Print and complete the appropriate new patient packet below.
2. Send the completed new patient packet to us at least 24 hours before your appointment.
- Email:
- Mailing Address:
- 13730 West Greenfield Ave.
Brookfield WI, 53005
- 13730 West Greenfield Ave.
OFFICE HOURS
Monday
9:00am - 5:30pm
Tuesday
9:00am - 5:30pm
Wednesday
9:00am - 5:30pm
Thursday
9:00am - 5:30pm
Friday
9:00am - 5:30pm
Saturday
9:00am - 11:00am
One Source Wellness & Chiropractic
13730 West Greenfield Avenue
Brookfield, WI 53005