Click below to open our convenient Patient Health History form. Print out and bring the completed form with you to our office.

Health History Form


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34586 LAKESHORE BOULEVARD
EASTLAKE, OHIO 44095
440.951.7856

5 SEVERANCE CIRCLE, SUITE 603
SEVERANCE MEDICAL ARTS BUILDING
CLEVELAND HEIGHTS, OHIO 44118
440.951.7856


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