Windmill Wellness Center

Patient Intake Form

Welcome to our online Patient Intake Form. The completed information will be sent directly to our office, speeding up your office visit and allowing us to spend more time addressing your health needs and goals. If there is additional information you would like the doctor to be aware of prior to your initial appointment, please email Dr. Gargiula directly at: OR set up a virtual consult with Dr. G at Thank you - we look forward to seeing and serving you in the office!

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