Wellness Center

1333 College Ave
(Across from the YMCA)
South Milwaukee, Wisconsin
Call (414) 762-8441 for an appointment

Click here for the Entrance Forms (PDF)
Print out and complete prior to office visit.

All Three Forms Must be filled out.
Patient Information Form Please read below

Confidential Patient Information Please read below

Patient Notice Please read below

Forms requires Adobe Acrobat Reader  
you can get it here free.
 

Click here for the Entrance Forms
Use this form if filling out in MS Word.
Requires MS Word
Patient Information Form

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Wellness Center | Conditions Treated | Insurance & Payment Options | Effects of Spinal Misalignment | Infants/Children | Disc Problems |
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