Patient Forms

Patient Intake Form (PDF)-The purpose of the patient intake form is to provide the healthcare provider with a comprehensive understanding of the patient's health status, lifestyle, and medical background. This information is essential for accurate diagnosis and effective treatment planning. If you have issues completing this form on the patient portal, please obtain from this link and bring to your first visit.

Patient Portal

Patient Portal Link- CharmHealth Patient Portal allows patients to access the practice specific EHR login page for JPB Wellness. Patients should use the following link to register and obtain all health related information. (Click here to access the patient portal)