Online Forms

Integrated Health Center L.L.C. offers our patient form(s) online so they can be completed 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.

Patient Forms- Required
New Patients & Returning Patients

This provides all the basic information we need in order to begin your care! Returning patients also need to periodically update this information. If it has been more than 6 months since your last visit, bring it in to your next appointment!

Loudonville Paperwork


CONTACT US TODAY

We look forward to hearing from you

Loudonville Office

Mount Vernon Office

Hours Mount Vernon Office

Monday
Closed
Tuesday
9:00 am - 6:00 pm
Wednesday
Closed
Thursday
9:00 am - 6:00 pm
Friday
Open last friday of the month 9:00 am - 12:00 pm
Saturday
Closed
Sunday
Closed
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