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Health Form Downloads

Please select from the following health form downloads.

Frequently Asked Questions

  • Frequently Asked Questions (PDF)

Health History

  • Health History (PDF)
  • Billing Agreement (PDF)
  • HIPPA Disclosure (PDF)
  • Liability Statement (PDF)
  • Dietary Food Log (PDF)

Health Assessment

  • Detox Questionnaire (PDF)
  • Stress Assessment (PDF)
  • Neuro Behavior History Form (PDF)
  • Candida Self Analysis (PDF)

Wellness Visit Information

  • Wellness Flow Chart (PDF)

We’re Hiring

Lifestyle Educator (coach) and Office Administration

Memphis, TN


Working with patients on Clinical Lifestyle Plans: Diets, Supplements, Menu Planning.Front Desk office administration: Answering phone calls, emails, e-commerce, servicing patient needs and filing.

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Appointments

Schedule an appointment today in our Memphis, Tennessee Wellness Center or set up an online or telephone consult by calling: 901.763.7006

Our Location:

Integrative Wellness & Research Center, Inc
6262 Poplar Avenue,
Suite 200,
Memphis, TN 38119

Email: clinic@integrativewellness.org

We look forward to meeting you and addressing all of your wellness care needs!

We Give Hope to the Hopeless!

Download Our Brochure

Contact Us

Call us today! 901.763.7006

Email: clinic@integrativewellness.org

Office Hours:
Monday - Thursday 9:00 AM - 4:30 PM
Friday 9:00 AM - 2:00 PM

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