4640 Hypoluxo Rd. Lake Worth, FL 33463

Online Forms

Advanced Healthcare offers our patient form(s) online so they can be completed it in the convenience of your own home orvisit_forms 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 at 561-296-1716 or email us at info@Advancedhealthcarepalmbeach.com your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form – Required

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!

Download and print form here

 

New Patient Auto Accident Questionnaire

This gives us the information we need about your accident. Please note: If you have been in an auto accident, this is the only form that needs to be completed. You do not need to submit the New Patient Health History Form.

Download and print form here

 

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