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New Patient Forms

Filling out formsAt Lifetime Health & Wellness, we offer our paperwork online so you can complete it in the convenience of your own home. Prior to coming in for your first visit, it helps us to have some background information so that we can hit the ground running! Below are the instructions for completing our paperwork:

  1. Open the attachment and download to your computer. Save the file with your first name and last initial.
  2. Close your browser and open the pdf file with Adobe Acrobat (not in your internet browser).
  3. Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.
  4. Complete the questions
  5. Save the file to your computer
  6. Email and attach the form to 48 hours before your first visit.

You can also download the forms and print them to complete by hand, if that’s more convenient for you. If you have questions or need any help, feel free to give us a call at (630) 904-6700.


  Adult Health History Form

  Pediatric Health History Form

  Pregnancy Health History Form

  Insurance Form


Lifetime Health & Wellness Forms | (630) 904-6700