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 before your first appointment

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

Downloadable Forms:

  1. Benefits Eligibility Form
  2. Infrared Therapy Consent Form

All patients must take responsibility to:

  • Give their healthcare 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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