New Patient Forms

Your first visit to Breakthrough Wellness Center establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like medical history, and give you time to get to know your doctors. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

adobeIn order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.

What to expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staffpage and familiarize yourself with the doctors. We look forward to your first visit.


  • Across from the East Freehold Park Showgrounds
  • Located in Poet’s Square
Mission Statement
Our goal and vision for Breakthrough Wellness Center is to become the leading destination for neuromusculoskeletal disorders in the Freehold and surrounding area. Our office offers first class care in pain management, physical therapy, chiropractic and acupuncture, with corrective exercises and nutritional advice, to achieve long lasting results. We believe that treating the body by intervention to the cause of the pain, and not just relieving symptoms of the pain, is what corrects the patient’s condition, and restores optimum health. Our commitment is to consistently provide patients with the best care possible in a relaxing and soothing environment. With integrity and honesty, our Doctors always have the best interests of the patients as their top priority.