Patient Forms

These forms give our team the information needed to prepare for your visit. Please submit them before you arrive.

New Patient Form

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Female HRT and Weight Loss Intake Form

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Gazelle Informed Consent and Eligibility Acknowledgment Form

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Incontinence Questionnaire Form

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Neck and Back Questionnaire

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Male HRT and Weight Loss Intake Form

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Pelvic Floor Health Intake Form

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Balance Wellspace Integrative Medicine is a premier medical clinic in Roanoke and Christiansburg, VA. We are dedicated to optimizing human performance through data-driven, non-surgical protocols that empower high-achievers to reclaim their vitality. Our clinical approach identifies physiological root causes rather than just masking symptoms, ensuring long-term health and peak physical function for patients across Southwest Virginia.

Roanoke Location

Hours

Christiansburg Location

SPECIALTY CLINIC

Hours

Conveniently located in South Roanoke, steps from Tanglewood Mall with easy access via I-581 and Route 419.

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Conveniently located in the heart of the New River Valley, just minutes from the US-460 and I-81 interchange and steps from the New River Valley Mall.

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Experience the future of healthcare at Balance Wellspace Integrative Medicine, where innovation meets excellence, and every patient receives the gold standard in medical care.

Our Specialized Services

Conditions we treat

Proudly Serving Southwest Virginia

Roanoke Valley Hub: Serving Roanoke, Salem, Vinton, Cave Spring, and Botetourt.

New River Valley Hub: Serving Christiansburg, Blacksburg, Radford, Pulaski, and Fairlawn.

Regional Access: Our clinics provide advanced medical care with easy access via the I-81 corridor, I-581, and US-460.

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