New Patient Paperwork

Action Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

All forms are online forms that can be completed in your browser.
Submit the necessary form(s) before your appointment.
If you have any issues completing the online paperwork, please call our office at (309) 662-8418, and we will help!

OFFICE HOURS

Monday
6:30am - 9:00am
3:00pm - 5:00pm

Tuesday
6:30am - 9:00am
3:00pm - 5:00pm

Wednesday
By Appointment

Thursday
6:30am - 9:00am
3:00pm - 5:00pm

Friday
6:30am - 9:00am

Saturday
By Appointment

Sunday
Closed

New Patients By Appointment Only.
*Additional times may be available upon request.

Action Wellness

2710 East Lincoln Street Suite A
Bloomington, IL 61704

P: (309) 662-8418
F: (309) 662-8197