North Shore Pro-Active Health offers our patient form(s) online so you can complete it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? You can either fill this portion out on the computer and then print, or print and fill out at your leisure. Please click to print the following two links.  The first being patient health history, and the second our office policies.

1. New Patient Health History

2. Office Policies

Authorization to Charge Account Form

This will allow us to keep a credit/debit card or checking information on our secure server and charge your account per each visit.

Download & Print Form

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Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!