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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!

Adult Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Adult intake form 10 pages Download & Print Form

Children Health History

Please Download & Print the forms that are age appropriate for your child and bring them with you to your appointment.

 Your Child is from Birth – 2 Months

 Your Child is from 2 Months – 2 Years

 Your Child is from 3 Years to 5 Years

 Your Child is 6 years +

Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

 Download & Print Form

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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.

Springtime Health and Wellness | (608) 274-6200