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New Patient Forms at M.Y. Life Health Center

Save time during your first visit

At M.Y. Life Health Center, we offer our paperwork online so you can complete it in the convenience of your own home.

Adult Online Intake Form »

Pediatric History Form (0-4 years) »
Pediatric History Form (5-10 years) »
Adolescent History Form (10-17 years) »


New Patient Forms at M.Y. Life Health Center | (608) 783-3040