Live The Life!

BEACH LIFE WELLNESS

Please click on the button below: "Skin Care Intake", if you are coming for any Skin Care/ Facial Services. After clicking on it, please download the form, fill it out, and bring it with you on your first time visit with us.

You can also fill out the pertinent form at our facility,

please come 15 min before your appointment to do so.

Thank you!


Please click on the button below: "Acupuncture Medical Form", if you are coming for Acupuncture and Oriental Medicine Services. After clicking on it, please download the form, fill it out, and bring it with you on your first time visit with us.


Beach Life Wellness Institute, LLC Privacy Policies: As a Wellness Center and Health Care Provider, we are required by law to maintain and protect the confidentiality of your health information. You must give us written and signed consent to waive this confidentiality. Your personal information is protected with us. We do not share your personal information under any circumstance with anybody except required by law or some exceptions that are strictly limited to defined situations that include emergency care, quality assurance activities, public health, research, law enforcement activities, consultation with other healthcare professionals, and in rare cases obtaining payment from third-party payers.

Any other disclosures for the purposes of treatment, payment or practice operations will be made only after obtaining your written and signed consent. Your rights to privacy regarding your protected health information: You may request restrictions on your disclosures. You may inspect and receive copies of your records within 30 days with a request. You may request to view changes to your records. Please note that we may contact you for appointment reminders, birthdays & seasonal greetings, announcements and to inform you about our practice and its staff.


Credit card payments: Your credit card payment information is 100% encrypted. We use the latest technology to protect your credit card payment information. Please be aware that we do not have access to the information on your credit card and we do not keep your credit card on file unless you request us to in order to pay for standing appointments or future services.

Please click on the button below: "Physician Release Form", if you are a client with current, or past major heart conditions, and you are trying to engage in an exercise program. After clicking on it, please download the form, fill it out, and bring it with you on your fitness assessment day, and/or first training session.


Please click on the button below: "Fitness & Massage Intake", if you are coming for any Personal Training, Fitness and/ or Massage Therapy Services. After clicking on it, please download the form, fill it out, and bring it with you on your first time visit with us.