New Patient Paperwork
The Other Side of Medicine offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- All forms are PDF files. You will need AdobeReader® to view them.
- If you do not already have AdobeReader® installed on your computer,
Click Here to download. - Download the necessary form(s), print them out and fill in the required information.
- Fax us your printed and completed form(s) or bring them with you to your appointment.
NEW PATIENT HEALTH HISTORY FORM - REQUIRED
- Functional Medicine
- Chiropractic
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!
FUNCTIONAL MEDICINE
- In Office Appointment
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. - Phone Consultation
- Brief Phone Consultation
Fill Out Form Online CLICK HERE - Comprehensive Phone Consultation
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.
- Brief Phone Consultation
CHIROPRACTIC NEW PATIENT FORM
OFFICE HOURS
Monday
10:00am - 6:00pm
Tuesday
3:00pm - 6:00pm
Wednesday
10:00am - 6:00pm
Thursday
3:00pm - 6:00pm
Friday
9:00am - 12:00pm
Saturday
Closed
The Other Side of Medicine
163 East Aurora Road Suite 2
Northfield, OH 44067
(440) 519-1766