Extreme Wellness Clinic has posted our Patient Medical Form on line. This form is the standard form we ask patients to complete when they visit us for their first office visit. Filling the form out in advance has advantages:
Dr. Pickens can review your medical history prior to your scheduled appointment
More time can be spend with Dr. Pickens while in the office
Patients may fax the form to 801-335-0535 or e-mail us at medicalwonders@keptprivate.com or bring a completed form with them at the time of their appointment; however, it is not required that the form be completed in advance.
Please click here to download a pdf copy of our Patient Medical Form.
Thank you for visiting Extreme Wellness Clinic. We are happy to assist you. Please use our online store for the fastest and most efficient means of processing your order. Phone orders are accepted: however, phone orders may not be processed as quickly as orders placed online.