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 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

  1. Functional Medicine
  2. Chiropractic

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!

Functional Medicine

  1. In Office Appointment
  2. After you have called our office and secured an appointment time, you will be sent a link to our HIPPA compliant, online patient registration forms and questionnaires. Fill this form out asap to enable Dr. Krystosik to review it before your initial appointment.

  3. Phone Consultation
    1. Brief Phone Consultation
    2. Fill Out Form Online CLICK HERE

    3. Comprehensive Phone Consultation
    4. You will receive an email conformation once your order has been processed with a link leading to the functional medicine information form that is required to be filled out and returned prior to your consultation.

Chiropractic New Patient Form

Download & Print Form


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!