Living Tree Center for Healing offers our patient form(s) online so you can complete it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
NEW PATIENT HEALTH HISTORY - INTAKE FORMS
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know.
Send us your completed forms and a copy of your insurance card, for verification of benefits, to [email protected]
You can also fax us your forms and a copy of your insurance cards to 440-877-9446 or bring with you to your appointment.
If you have any questions about this form, please call us at 440-877-9440. Along with your forms, please arrive early to your scheduled appointment time and be please be prepared with your I.D. and medical insurance card.
Please arrive 30 minutes before your appointment to check in if you cannot complete forms in advance or need assistance.
Living Tree Center for Healing
11443 State Road
North Royalton, Ohio 44133