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Optimized Wellness Center offers our forms online. The new member application must be completed in advance of your scheduled appointment time. Please bring your competed forms to your appointment.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


Our intake process allows our doctors to create a custom and detailed plan that will put you on the road to wellness. The process takes approximately 2 hours over the course of 2 days with the input of multiple doctors. Have other doctors told you you’re find but your body is telling you that you’re not? At Optimized Wellness Center, our doctors will listen to you. We believe your health is a team effort and our goal is to get to the root of the problem. Our consultation, examination and assessment process is extremely thorough, allowing the solutions we provide to be tailored to you and the best opportunity for your body to recover and maintain an optimized state of health.


Please arrive with our New Practice Member Application printed out and completed. Please note: this document is an extensive medical history and takes approximately 30-40 minutes to complete. Your appointment is reserved for the time scheduled and if your paperwork is unfinished at the time of your appointment, you may be asked to reschedule. If you need assistance with this form or would like to pick up a printed copy from our office, feel free to give us a call at 510.497.4424 in advance of your appointment.

At your appointment we will perform a complete health and wellness examination including 5 objective diagnostic tests to determine how well your body is functioning. There is no need to prepare for this appointment by fasting or otherwise altering your behavior. We are looking to gather a realistic understanding of your current health status.


Your second appointment will be scheduled within a few days of your initial visit, at which time we will share a written report detailing the results of our clinical findings with you. You are encouraged to invite a loved one to accompany you as this information is critical to your health going forward. Your Report of Findings includes a detailed analysis of what you need in order to get at the root cause of the problems that brought you into our office and create long term resolution. We will consider your lifestyle, your past medical history, current health status and your unique goals. Your personalized plan to help you achieve optimal function may include: chiropractic care, naturopathic medicine, acupuncture, personalized nutrition and supplement recommendations, nutrient injections, detoxification therapies, laser treatment, weight loss and/or body contouring therapies, cellular detox, ionic foot baths, etc. Your personalized plan of action will detail al the ways Optimized Wellness Center can support you and your health! 

New Practice Member Application

OWC Medical Release Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

OWC Notice of Privacy Practices

OWC Practice Member Re-Eval 2017

Exclusive Offer

Sign up for a complimentary 15 minutes initial phone consult today!
(for new potential practice members only)


Office Hours

For after hour services, please call the office for details.

Monday3 PM7 PM
Tuesday3 PM7 PM
Wednesday9 AM-1PM3-7 PM
Thursday3 PM7 PM
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
3 PM 3 PM 9 AM-1PM 3 PM Closed Closed Closed
7 PM 7 PM 3-7 PM 7 PM