Get Started with Origins
Choose the form below that best fits your needs. Our secure, HIPAA-compliant forms make joining our wellness community simple and safe.
HIPAA Compliant
501(c)(3) Non-Profit
No Insurance Required
Need Help Choosing?
If you're a new patient, start with the Patient Intake Form. If you're interested in our membership program, complete the Membership Application. Questions? Call us at (517) 618-4729
Call Us Now