Patient Forms

Below you will find our forms for new clients, if you have any questions please call us 401-461-9355. Once you complete the forms, please bring them to your first appointment.

A continuación encontrará nuestros formularios. Si usted tiene alguna pregunta por favor llame (401) 461-9355. Una vez que complete y firme los formularios, por favor traiga a su primera cita.


Forms / Formularios



Copy of Privacy Practice/HIPPA

New Client Agreement Forms

Authorization for release of information

Join our mailing list

For announcements and updates.


If you have an invoice due, you can conveniently and securely make a payment directly on our website.

Make a Payment

About Us

The Wellness Center RI has over 10 years of experience in the wellness and health field. Contact us today for a consultation.

Contact Us

400 Reservoir Ave
2nd floor suite K
Providence, RI 02907

Phone: 401-461-WELL
Fax: 401-784-9609

Our Hours

Monday to Friday

9:30am - 3:30pm

By Appointment Only