Lifetime Family Health Center, PLLC offers our patient form(s) online so they can be completed 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.
- Fax us your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Form (Adults) - 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!
New Patient Pediatric Health History Form (Ages 0-9) - Required
This lets us know the history and current state of health as well as details of birth process and childhood.
New Automobile Injury Form
If you have recently been in a car accident please download and print this form as it will give the doctor specific information reguarding your car accident.