WBK Healthcare Services

Patient Forms

Securely complete the follow-up forms requested by your WBK Healthcare Services provider or care team.

Select Your Patient Form

Choose the appropriate form below and provide complete and accurate information before submitting it.

Please complete this form only if it was requested by your WBK Healthcare Services provider or care team.

Medication Follow-Up

7-Day Suboxone Trial Follow-Up Form

Complete this form after your 7-day Suboxone trial. Your responses will help your WBK Healthcare Services provider review any symptoms, side effects, or concerns experienced during the trial period.

Complete Follow-Up Form

Need Help?

Contact WBK Healthcare Services if you are unsure which form to complete or need assistance accessing the form.

Call or Text: (412) 314-1822
Important: Patient forms are not monitored for emergencies. If you believe you are experiencing a medical emergency, call 911 or seek immediate medical care.