Referring to Complete Wellness?
If you are a clinical professional and would like to refer a client to Complete Wellness, you may download the Client Information Sheet here, and fill it in.
You may fax the form to 443-957-9485.
If you are sending information to Complete Wellness, you may use the Release of Information form below.
Client Information Sheet
This form contains all the demographic information needed to open a client account at Complete Wellness. All new clients must complete this form.
Release of Information
Frequently we need prior medical records in order to provide you with the best care. You may also request that your records at Complete Wellness be sent to another provider. Refer to the informed consent above on our policy regarding the release of protected health information.