Online Forms

The Other Side Of Medicine

Functional MedicineOnline Forms

Call Today 440-519-1766

For more information or to schedule an appointment!


The Other Side of Medicine Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

    • If you do not already have AdobeReaderĀ® 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 - 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 & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor! We look forward to making your experience with our office and website more interactive and rewarding!

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Dr. James Krystosik
Northfield Chiropractor | The Other Side of Medicine Health Center | 440-519-1766
163 E. Aurora Road
Northfield, OH 44067

Wellness Awaits You begin your journey today!

Functional Medicine

Dr. Krystosik is the leading expert in functional medicine in northeast Ohio.



Pain Free 1,2,3
 

We strive to provide the best drug-free pain management for our patients. Learn more about all the services we provide.


Schedule Appointment

We will do our best to accommodate your busy schedule. Schedule an appointment today!