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Patient Forms

All new patients must complete the New Client Intake Form before your scheduled appointment. You are welcome to print and complete it in the peace of your own home. If you prefer, please arrive about 20 minutes early for your first appointment and we will provide a printed copy to complete.

New Client Intake Form

910.295.1215

20 Memorial Dr Suite B
Pinehurst, NC 28374

Dr. Wells' office is open with reduced hours to a limited number of current patients. We've implemented additional safety practices and other noticeable changes (read letter here) and will continually adapt as the situation warrants. Ultimately, the safety of our community is paramount and guides our decisions.

The COVID-19 pandemic reminds us exactly how interconnected we really are. Please reach out to others in safe ways and consider various means of supporting local efforts. Kindness doesn't prevent or heal an infection, but it sure is a balm for a hurting world.

Please refer to www.CDC.gov or www.NCDHHS.gov for reliable information on the COVID-19, aka coronavirus.