New Patients

Dear New Client,


Dr. Elena Klimenko &  Healthy Wealthy & Wise Medical practice welcomes you!

In order to expedite your registration process, please follow the appropriate link to complete the initial intake form.

If you are an Integrative/Functional medicine client, please follow the link and complete the appropriate questionnaire and bring it to your first visit with Dr. Klimenko. Allow yourself 45-50 minutes to complete this form

Functional Medicine Adult Intake Forms


*Please remove nail polish prior to your doctor’s visit!

If you are a Cosmetic client, please fill out the attached form and bring it to your appointment:

Cosmetic forms


If you are a Travel medicine client, please fill out these forms and bring it to your visit with Dr.Klimenko:

Travel Medical History Questionnaire

Screening Questionnaire


Dr. Klimenko’s main goal is to provide you with the most updated and efficient way to achieve optimal health. She implements a variety of modalities for your care: from conventional allopathic medicine to acupuncture, homeopathy and functional/nutritional medicine.

Dr. Klimenko spends time working with you on an individual basis in order to provide you with the best possible care. Her services are not covered by in-network medical insurances. However,  Dr. Klimenko will help you to submit a claim to the insurance if you have out-of-network coverage.

The patients would need to pay at the time of services – cash, checks, or credit cards are accepted. Dr.Klimenko will provide you with all the necessary information to submit for reimbursement.



schedule an appointment with Dr Elena Klimenko MD


Online scheduling is for follow-ups only. New patients, please call us to make an appointment.