First Health Associates offers some of our patient form(s) online so that they can be completed 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 Registration Form
Medical History Intake Form
Family Medicine
Wellness
Weight Loss History/Intake Form
Physican Approval Form
Exercise Physiologist's Training Contracts
Nutrition
Nutritional intake form
Three Day Food Record
Traditional Chinese Medicine
Behavioral Health 
Initial Intake form
Consent To Treat/office Financial Forms
Community Content
| Mon | 7am to 7pm |
| Tue | 7am to 7pm |
| Wed | 7am to 7pm |
| Thu | 7am to 7pm |
| Fri | 7am to 7pm |
| Sat | 8am to 3pm |
| Sun | Closed |
Call Us:
847-593-3330 Request
Appt.
Contact
2010 S. Arlington Heights Rd. #42
Arlington Heights, IL 60005
Get Directions
- Phone: 847-593-3330
- Fax: 847-593-3346
- Email Us


