rife wellness centre

Download Your Patient History Form

At the Rife Wellness Center, your health and safety are our top priorities. Providing accurate and detailed medical information is crucial in delivering the highest level of care and ensuring optimal treatment outcomes.

Please download the form, fill it in and email it to bookings@rifewellnesscentre.co.za and call 0825729848 to book an appointment

Please Note. We cannot give you accurate screening if you do not complete the form below and return it to us BEFORE your appointment.

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