Patient Intake Forms

New patients can save time during their first appointment by completing the Patient Registration forms prior to their visit.  Click on the links to print and fill out the appropriate forms and bring the completed forms with you to your appointment.  Please note, FoRM Health contracts with Elixia Wellness Group to provide reception and billing services.  As a result, some forms will include reference to Elixia.

form to read

forms to fill out and sign (required for all visits)

Additional Forms (relevant Treatments only)

IV/Regenerative Injection Therapies

Laser Treatments



Schedule an appointment online with Dr. Minarik or Dr. Herman.


Feel your best from the inside out

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