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H2H Wellness Centers offers these patient forms online to expedite your evaluation and treatment time with Dr. Latrice Jordan.


Please download and complete the forms before your appointment with us.

Completed forms can be sent via email to or bring them to your appointment.


New Patient Forms

Records Release

Intake Form


All forms are PDF files. You will need AdobeReader® to view them.  If you do not already have AdobeReader® installed on your computer, Click Here to download.

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H2H Wellness Centers