New Patient Paperwork

Power of Life Holistic Health Center 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.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake Form

    Click to Download

  • Pediatric Patient Intake Form

    Click to Download

  • Functional Health Assessment

    Click to Download

  • Neuropathy Intake Form

    Click to Download

  • Knee Intake Form

    Click to Download

OFFICE HOURS


Monday
7:30am - 5:00pm


Tuesday
8:00am - 5:00pm


Wednesday
8:00am - 5:00pm


Thursday
8:00am - 5:00pm


Friday
7:30am - 1:00pm


Saturday & Sunday
Closed

Power of Life Holistic Health Center

21690 River Oaks Dr
Rocky River, OH 44116

(440) 331-4744