YU & I Wellness Center

Contact Us

Please contact us directly with any questions, comments, or scheduling inquiries you may have.

702-292-9729

Fill out the new patient form above and send it to us via our contact form to save time when you come in for your appointment.

Monday Tuesday Thursday Friday: 8:30AM–4PM

Wednesday Saturday Sunday: Closed

Below are 2 options for completing the 6 page New Patient Form (both are in English).

Select which one is most convenient for you.

Complete all 6 pages and sign each page.

Please bring your completed form for your initial consultation.

The first one is for printing and then writing in your information.

PRINT AND WRITE IN -New Patient information packet

The second one is for filling out online, typing in your information, then print it out, sign it.

FILLABLE ONLINE - New Patient information packet