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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.

Please note:  You will not need to download or print these forms.  The should be able to complete these forms online on from your mobile device or desktop.  Once submitted, our office, we’ll receive notification to download the forms through our HIPAA secured online portal.

Please complete these forms at least 48 hours before your first visit.  If you have any questions or concerns, please call (630) 904-6700 or email CareTeam@LHWChiro.com.

  Pediatric Health History Form

  Pregnancy Health History Form

  Adult Health History Form

  Massage Health History Form

  Office Policies

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