Salerno Wellness Center New Patient Forms

For your convenience, the following forms from the Salerno Wellness Center are available for download. These Adobe fillable forms can be completed on you computer.  Be sure to save your completed forms and email them to info@salernocenter.com. If you prefer, you may print out the completed forms and bring them to your appointment.

You may also download or view these forms individually below:

Patient Registration Form

Health Form

Consent Form

Medical Release (HIPPA) Form

Email Consent Form

Payment Policy Form

Informed Consent for Hyperbaric Oxygen Therapy