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Patient Forms

All new patients must complete the New Client Intake before their first appointment as it forms the initial framework for our work together. We'll gladly mail them to you to complete in the peace of your own home. If you do not complete at home, please arrive about 20 minutes early for your first appointment and we will provide you a printed copy.

New Client Intake Form with Privacy Practices


20 Memorial Dr Suite B
Pinehurst, NC 28374

Dr. Wells' office is open with reduced hours to a limited number of current patients (not taking new patients at this time). 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. Kindness doesn't prevent or heal an infection, but it sure is a balm for a hurting world.

Please refer to or for reliable information on COVID-19, aka coronavirus.