First Visit Forms

​Welcome to Energy Wellness Center of Orlando

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We're honored you've chosen us to be part of your health and wellness journey. We look forward to meeting you and providing you with personalized care every step of the way.

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To help us make the most of your first appointment together, please complete the forms below at least 24 hours before your scheduled appointment whenever possible.

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Before Your Appointment

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• Download the forms below.

• Complete each form.

• Save the completed forms to your preferred device (computer, tablet, or mobile phone).

• Email the completed forms to contact@energywellnessorlando.com.

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In-Person Consultation

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Submitting your forms at least 24 hours in advance allows Jackie time to review your health history and prepare for your consultation. If you're unable to complete them beforehand, we kindly ask that you arrive 20 minutes early to allow enough time to fill them out before your appointment.

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Virtual Consultation

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Please email your completed forms at least 24 hours before your scheduled appointment so Jackie has time to review your information and prepare for your consultation.

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If you have any questions or need assistance, we're here to help. 

Please call or text us at 407-217-6920, and we'll be happy to assist you.

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We look forward to partnering with you on your journey toward better health!

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