Benwell Natural Health

Alternative Medicine & Integrated Wellness Counseling

Patient Forms

Your Intake Form Is Now Available Online!

When you book your first appointment you should receive two emails:

  1. Confirmation of your appointment; and
  2. Request to complete your intake form:
    Please complete all four pages of your intake form online and include your health plan information prior to your first appointment

Feel free to contact our office at 973 219 2476 with any questions or concerns regarding your appointment.

Downloadable Forms:

  1. Health Status Form
  2. Benefits Eligibility Form
  3. Infrared Sauna Consent Form

All patients must take the responsibility to:

  • Give their health care provider the information necessary to provide them with the best possible care;
  • Follow the treatment plan and instructions for care upon which they and their health care provider have agreed;
  • Promptly pay co-payment or co-insurance amounts; and
  • Understand their health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible.
Associated Bodywork & Massage Professionals
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