Intake Form
Get Started with Your Wellness Journey
At Wheeler HealthyU, we believe that wellness begins with understanding YOU.
Your first step? Fill out our intake form so we can truly personalise your care plan and set you up for success.
Why complete the intake form?
It helps us capture your current health status, goals, and any history we should know about.
It allows us to match you with the right practitioner or program for your needs (whether it’s personal training, Pilates, massage, sauna, etc.).
It ensures we can safely and effectively craft a wellness path tailored to your body, lifestyle and aspirations.
It empowers you: the form gives you a moment to reflect on what you want, what you’ve tried, what’s worked (or not), and what you’re ready for.
Due to HIPAA compliance, please print out this form, fill it out, and bring it to your first visit.