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Online Forms

We offer our patient form(s) online so they can be completed 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) to 806-687-6895 or bring it with you to your first appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with?  These forms are the starting point for our consultation.  Please fill out the appropriate history form, a terms of acceptance, and a profile and bring them with you to the first appointment, email them to [email protected] or fax them to our office at 806-687-6895 prior to your appointment!

Adult History

Pediatric History

Personality Profile

(If for Pediatric, Parents please fill out personality profile for yourself)



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Locations

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Office Hours

Our Regular Schedule

Monday:

9.00 AM - 11:00 AM

3.00 PM - 6:00 PM

Tuesday:

7:30 AM - 11:00 AM

3.00 PM - 5:00 PM

Wednesday:

10:00 AM - 12:30 PM

2:00 PM - 3:30 PM

Thursday:

9.00 AM - 11:00 AM

3.00 PM - 6:00 PM

Friday:

10:00 AM - 12:30 PM

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Global Health is one of the best places I’ve been to! Their staff & Dr. Jake are always friendly, they get you in and out quickly, always have a relaxing environment and I leave feeling better! I will continue to go back!"
    Paige C.
  • "Complete and detailed intake visit. Hoping that this will be the beginning of healing that my wife and I have needed for a long time. Seeking care due to an auto accident that we were involved with back in January. Staff is very knowledgeable and helpful. Has a faith and joy atmosphere. Key components for healing."
    Mark T.