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.
- Send us your completed forms and a copy of your insurance card, for verification of benefits, to [email protected] or fax to 440-877-9446, or bring with you to your appointment.
New Patient Health History - Intake Form - Required
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.
If you have any questions about this form, please call us at (440) 877-9440. Along with your Intake 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