UWA Intake Forms

Please take a moment to print and fill out our forms before your appointment. You can fax them back to us at 916-961-0624. Thank you!

There will also be other forms specific to your health concerns. When you schedule your Comprehensive Bio-Screen blood profile, we will forward the most relevant forms.

• Health Evaluation Profile
• Health Questionnaire (NTAF)
• Metabolic Assessment Form
• Toxicity Questionnaire

Directions to Universal Wellness Associates:

• Overview Map (Google maps)
• Printable Directions (PDF*)

*You will need Acrobat Reader to view and print this file. Click here to download this free software.