YU & I Wellness Center
YU & I Wellness Center
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    • Treatments
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    • IV Drip Therapy
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    • Home
    • Our Services
      • Treatments
      • Ozone
      • IV Drip Therapy
      • BioAcupuncture
      • BHRT
      • LDN
      • Wellness Consulting
    • Our Office
    • Patient Resources
    • Contact Us
    • Order your Supplements
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  • Home
  • Our Services
    • Treatments
    • Ozone
    • IV Drip Therapy
    • BioAcupuncture
    • BHRT
    • LDN
    • Wellness Consulting
  • Our Office
  • Patient Resources
  • Contact Us
  • Order your Supplements

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  • Bookings
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702-292-9729

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DrYu@YuandIWellness.com

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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.

YU & I Wellness Center

(702) 292-9729

Hours

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

Wednesday Saturday Sunday: Closed


New Patient Form

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

PRINT AND WRITE IN -New Patient information packet (pdf)Download
FILLABLE ONLINE New Patient information packet (pdf)Download

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