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Online Forms

Clean Living Health Clinic 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 (Green) - 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? Let us know!

Download & Print Forms




New Patient Health History Form (White) - 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? Let us know!

Download & Print Forms




Class Hour Preparation Comparison

Your description here.

Download & Print Forms




EB-305 Energy Balancing System

Your description here.

Download & Print Forms




Thermography

Your description here.

Download & Print Forms




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We look forward to hearing from you

Locations

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Office Hours

Our Regular Schedule

Primary Office

Monday:

*9:00am - 12:00pm

*2:00pm - 4:00pm

Tuesday:

8:00 am-12:00 pm

1:30 pm-5:00 pm

Wednesday:

9:00 am-12:00 pm

1:30 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

*9:00am - 12:00pm

*2:00pm - 5:00pm

Saturday:

Closed

Sunday:

By Appointment

Closed