BioLife Health Center Forms and Questionnaires

Medical Intake Questionnaire

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The following Medical Intake Questionnaire is a comprehensive look at your health. It will take about 15-20 minutes to complete. All information received on this form will be treated as strictly confidential. Please fill out the form completely and accurately. This information is essential to helping Biolife Health Center develop a wellness program that addresses your needs, goals and interests in a safe and effective manner.