New Patient Forms
Life Wellness Center is happy to provide both Eagan and Lakeville with the best customer service in town. In order to make sure that your appointment goes as scheduled, make sure to have your paperwork filled out and ready beforehand. Find the paperwork associated with the reason for your visit below. If you have any questions regarding the forms, feel free to contact our office and we will do our best to assist you.
If you are a new or existing patient, please download and complete the appropriate form(s) below.
Please bring the completed form(s) to your scheduled appointment:
New Patient Health Information Form
Updated History Form
Motor Vehicle Collision Form
Personal Injury Verification Form
Insurance Questionnaire/Benefits Verification Form
Worker’s Compensation Verification Form
Worker’s Compensation Questionnaire Form
Patient Responsibility Form
Credit Card Authorization Form
Massage Therapy Clients:
New Massage Therapy Intake
Ideal Protein Clients:
Ideal Protein Health Profile