Atlas Wellness Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • 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.


New Patient Health History Form - Required

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

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

Sign Up For Your Free Consultation and Save $200!

Your FREE Consultation Includes:

      1. Doctor examination;
      2. Computerized Stress Scan;
      3. X-rays (if necessary); and
      4. Wellness Plan of Action

*New Patients Only*

Discover Wellness Special

*FREE Consultation*

**Sign Up and Save $200**

a

*New patients only.*

Follow Us

---------------------------------------------------------

Read Patient Reviews

Community Content

Office Hours

DayMorningsAfternoons
Monday10am-12pm3pm-7pm
TuesdayClosed3pm-7pm
WednesdayClosed1pm-7pm
ThursdayClosed1pm-7pm
FridayPilatesPilates
SaturdayPilates / YogaPilates
SundayClosedClosed

Contact

  • Phone: (714) 540-6792
  • Fax: 714-540-6794
  • Email Us

Address:

Atlas Wellness Center
2900 Bristol St. Suite A-201
Costa Mesa, CA 92626
(714) 540-6792
Get Directions
Top