New Patients

 
We welcome your interest in allowing us at Gardner Wellness Center to serve your needs. 
To schedule an appointment, please contact us at (770) 455-8800. We will also be glad to answer any questions or concerns regarding our services and products offered.
 
Please print the forms below as directed when scheduling your appointment and complete it prior to your arrival for your appointment.
 
Download options for:
 
New Patient Info form
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)
 
Health History form
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)
 
Chief Complaint form
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)
 
Child Neurotransmitter & Nutrition Questionnaire (CNNQ)
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)
 
Nutrition Response Testing Orientation (NRT)
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)
 
Financial Agreement
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)
 
Parental Constent Form
DOC format (Requires Microsoft Word)
PDF format (Requires Adobe Reader)