Functional MedicineOnline Forms
Call Today 440-519-1766
For more information or to schedule an appointment!
The Other Side of Medicine Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our 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 - Required
- Functional Medicine
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!
- In Office Appointment
- Phone Consultation
- Brief Phone Consultation
- Comprehensive Phone Consultation
Fill Out Form Online CLICK HERE
You will receive an email conformation once your order has been processed with a link leading to the functional medicine information form that is required to be filled out and returned prior to your consultation.
After you have called our office and secured an appointment time, you will be sent a link to our HIPPA compliant, online patient registration forms and questionnaires. Fill this form out asap to enable Dr. Krystosik to review it before your initial appointment.
Chiropractic New Patient Form
Dr. James Krystosik
Northfield Chiropractor | The Other Side of Medicine Health Center | 440-519-1766
163 E. Aurora Road
Northfield, OH 44067
Wellness Awaits You begin your journey today!
Dr. Krystosik is the leading expert in functional medicine in northeast Ohio.
Pain Free 1,2,3
We strive to provide the best drug-free pain management for our patients. Learn more about all the services we provide.
We will do our best to accommodate your busy schedule. Schedule an appointment today!