Practice Member Center

Welcome to the Core Health new practice member center!

New Born, Infant, and Toddler Health History Form

This lets us know the history and current state of your son/daughters health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

ATTENTION: Parents or Legal Guardians! The following forms should be printed out individually Form 1, Form 2, Form 3. Please complete the papwork before your child's inital appointment.

Form 1 Form 2 Form 3

Children and Adolescent Health History Form

This lets us know the history and current state of your son/daughters health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

ATTENTION: Parents or Legal Guardians, Click Here to print out the Consent to Treat a Minor Form. Please complete the paperwork before your initial appointment.

Children and Adolescent History Form

Adult Health History Form

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!

Your cooperation of completing the online forms prior to your initial consultation is greatly appreciated.

We are honored to be on this health journey with you!

Adult History Form
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