Wave Integrative
  • Welcome
    • Our Team
    • Events
    • Work with Wave
    • Clinician Referrals
    • Clinical Network
  • Services
    • NEW Personalized Immune Support
    • Functional Medicine Evaluation >
      • Thyroid Balance Program
      • Adrenal Reboot Program
      • Women's Health
    • Advanced Pain Solutions
    • Specialized Services >
      • Tick-Borne Infections Consultation
      • PANS/PANDAS Evaluation
      • Genomics Consultation
    • Wellness Services >
      • Massage & Lymph Drainage
      • PEMF
      • Reiki
    • What to Expect @ WIMC
  • FAQ
  • Patients
    • Become a Patient
    • Existing Patients >
      • Medical Questions
      • Existing Patient Forms
      • Appointments
      • Survey
  • Supplements
    • Patient Rx Dispensary
    • Immune Support Supplements
    • Xymogen Professional Brand
    • Researched Nutritionals Professional Brand
  • Content
    • FxnMed Articles
    • Tick-Borne Disease
    • PANS/PANDAS
  • Welcome
  • Welcome

Forms for Existing Patients

Forms for Existing Patients

​Links for Table of Contents: 
1. Forms to complete before your next appointment
2. Examples of how to complete your follow up visit forms & medical journaling
3. Send in your private medical documents (HIPPA-compliant)
4. Patient Handbook - printable version

 
 

The TREATMENT  &  SYMPTOM TRACKER FORM is used for every
​follow up appointment; please submit 2-4 days before your visit

Follow up visit forms are submitted electronically. Please fill out the appropriate form: Non-Pulsing Protocol or Pulsing Protocol. You can upload separate medical documents using the Upload Medical Document Form on the page (scroll down). PDF Forms requires a common, safe, free software called Adobe Acrobat Reader to open. 

Treatment Tracker: Non-Pulsing Protocol.
 This is one continuous protocol that does not alternate


Treatment Tracker: Pulsing Protocol.
 This is if you alternate parts of your treatment every 1-2 weeks


 

Click here to view an EXAMPLE of how to fill out the
​Treatment & Symptom Tracker Form:

sample_treatment_tracker.pdf
File Size: 180 kb
File Type: pdf
Download File


 

 

MEDICAL DOCUMENT UPLOAD


 

PATIENT & OFFICE POLICY HANDBOOK


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Hours

9:00am - 5:30pm
Monday
9:00am - 6:30pm
​Tuesday
9:00am - 5:30pm
Wednesday 
9:00am - 6:30pm
Thursday
9:00am - 5:00pm
Friday

Clinic Telephone

844-468-5963
​203-442-6740


​Toll Free:
844.Got.Lyme
(844.468.5963)

Clinic Fax

860.263.0576

Dispensary Info

Supplement Dispensary
​Wave Wellness, LLC
844.909.2500

​​Clinic visits are by appointment only
Contents of this site have not been evaluated by
​The Food and Drug Administration
  • Welcome
    • Our Team
    • Events
    • Work with Wave
    • Clinician Referrals
    • Clinical Network
  • Services
    • NEW Personalized Immune Support
    • Functional Medicine Evaluation >
      • Thyroid Balance Program
      • Adrenal Reboot Program
      • Women's Health
    • Advanced Pain Solutions
    • Specialized Services >
      • Tick-Borne Infections Consultation
      • PANS/PANDAS Evaluation
      • Genomics Consultation
    • Wellness Services >
      • Massage & Lymph Drainage
      • PEMF
      • Reiki
    • What to Expect @ WIMC
  • FAQ
  • Patients
    • Become a Patient
    • Existing Patients >
      • Medical Questions
      • Existing Patient Forms
      • Appointments
      • Survey
  • Supplements
    • Patient Rx Dispensary
    • Immune Support Supplements
    • Xymogen Professional Brand
    • Researched Nutritionals Professional Brand
  • Content
    • FxnMed Articles
    • Tick-Borne Disease
    • PANS/PANDAS
  • Welcome
  • Welcome