Patient Intake Forms

Save time at your first appointment by completing your intake forms online. These forms help Dr. Lopez understand your health history, current concerns, and treatment goals so he can make the most of your visit.

All information is kept strictly confidential in accordance with our HIPAA privacy practices.

Take the First Step Toward Relief

Dr. Jimmy Lopez and the team at Element Wellness Center are ready to help you feel better. Schedule your consultation today.

5055 N Harbor Drive, Suite 100, San Diego, CA 92106 | Point Loma