New Patient Application

Thank you

Thank you for your interest in working with Dr. Habanova and The Pilates Wellness Center! We are honored that you’ve chosen us as a partner on your journey back to health, and we’re excited to begin that journey with you.

To get started, we need to ask you a few questions to make sure you meet the basic requirements of becoming a patient of Dr. Habanova and collect your contact details.

After that, our office will contact you to take the next step in the process.

Please Note:
The Florida Board of Chiropractic Medicine requires physicians to see all new patients in person for the first appointment. Subsequent appointments may take place via phone or Skype.

At this time, Dr. Habanova live in the continental 48 United States (excluding Alaska and Hawaii), and are willing to travel to Dr. Habanova’s office in Wellington, FL for the case review appointment.

After you submit your application, you will receive a Functional Medicine Patient Packet via email which explains the process of working with Dr. Habanova in more detail.

Please compete these forms as thoroughly as you can.

After you mail your completed Functional Medicine Patient Packet back, your Patient Coordinator will review it and contact you to schedule your first office appointment (Initial Consultation) with Dr. Habanova.

Feel free to contact us if you have any questions. We are happy to help. 561-204-5393